My appearance has changed a lot from my old picture too. I haven't flown internationally since dropping the weight, but I worry it might cause trouble. I assume you'd have to apply for an entirely new passport to get an updated photo. This is probably going to become more common as more people start these medications.
Next week I'm heading overseas for work, so I pulled out my passport to check it and noticed it doesn't match how I look now at all. My face has gotten really puffy and swollen, my eyes seem smaller because of the extra weight, and there's this big double chin. There's a scowl in the photo that I might be able to copy. The overall face shape has shifted from a nice oval to something else. It hit me while writing this that it's probably that ozempic face thing people talk about online. Laughing, but seriously, who even is that in the photo? I should get a new picture done next year. Anyone know how to say "I'm on the shot" in Italian? Has anyone run into weird situations with border control?