Depends who you are. Some do end up with the so-called Ozempic face, sometimes joked about as the walking dead look, mostly in already slim women who push to get thinner still. As a man of 51, I dropped nearly 30 kg on Mounjaro across 4 months. For me it went the other way, people keep telling me I look better. Long before I slimmed down, people rarely guessed my age and guessed roughly 45, and since then even younger. It seems to me much comes down to your starting point, the amount to lose, genetics, and how much fat your face held at the start.