Rosie O'Donnell Opens Up About Her Decision to Get Cosmetic Surgery

Rosie O'Donnell has revealed the unexpected catalyst behind her choice to pursue cosmetic surgery—a decision that marks a notable shift for someone who has long been vocal in her opposition to facelifts.

The 64-year-old entertainer shared her reasoning during an interview on SiriusXM's Andy Cohen Live, explaining that dramatic weight loss while using Ozempic fundamentally altered her thinking on the subject.

"It took me by surprise," O'Donnell acknowledged when Cohen brought up the shock many fans experienced learning about her decision.

The comedian attributed the change to physical transformations that followed her use of the medication over more than three and a half years. She lost approximately 60 pounds during that period, which resulted in the development of what she described as deep marionette lines—creases that extend from the corners of the mouth downward.

"Well, you know what happened, Andy? I got two really deep lines here. They're called marionette lines from losing so much weight on Ozempic," O'Donnell explained. She noted that she has had "no side effects" from the medication and credited her gradual weight loss approach with helping her overall experience.

Previously, O'Donnell had been adamant in her opposition to facelifts, even joking with friends about the procedures. But witnessing the changes in her own appearance prompted a reconsideration of her position.

One particular frustration drove home the decision. "I was sick of people in Ireland going, 'Oh, darling, are you sad?' I'm like, 'No, I'm not sad. That's my face,'" she recounted.

After seeking consultations with several medical professionals, O'Donnell opted for a more conservative approach to addressing the issue.

"We're not going Kardashian. We're going end the sad face," she quipped about her chosen procedure.

The former talk show host also touched on her cosmetic history, noting that dental crowns represented her first cosmetic intervention, which she pursued following her breakthrough appearance on Star Search.