An actor who performs in an embarrassingly bad movie might wish they could refuse to let their work be used after the fact, but they already signed away their right to retract their work.
An OnlyFans model is also the creator of the content though, so they might have more leverage depending on OF's legal terms. If they still own the rights to all media they create and distribute through OF, then they could petition for removal based on DMCA or something (I'm not a lawyer but it sounds plausible).
Morally, I hope FB can help regretful adult models remove content of themselves if they don't want it to exist anymore. But practically, that will be very difficult to guarantee.
That's what OnlyFans images are.
If the performer owns the IP then they are completely within their rights to remove it where others infringes them. Whether that’s to protect their own commercial operation or because they don’t want those images in public anymore.
It's probably not technically a "gray area" since the platform can't ensure the content doesn't escape. But certainly, content creators should be aware that withdrawing consent doesn't mean their content is suddenly secured.