With the widespread adoption of 5G telecommunication networks, to reduce construction costs, it has become necessary to add new equipment or antennas to existing 4G and 3G telecommunication towers. This significantly changes the original aerodynamic shape of the towers, leading to a substantial increase in the wind load, which may exceed the original structure’s bearing capacity and pose a threat to the structure’s safety. This study employed three-dimensional numerical simulation methods to systematically investigate the impact of various antenna arrangement parameters, such as the arrangement number, arrangement form, and arrangement layers, on the wind load characteristics of telecommunication towers. The findings revealed that the antenna arrangement form significantly affects the sensitivity of the telecommunication tower’s wind load to the wind direction, with more uniform antenna arrangements resulting in less sensitivity. Compared to the drag coefficient and the windward base overturning moment coefficient, the tower’s lateral force coefficient and the crosswind base overturning moment coefficient are more sensitive to changes in the wind direction. The change patterns in the tower’s overturning force coefficient and overturning moment coefficient with the antenna arrangement number are essentially the same. However, as the antenna arrangement number increases, the growth rate of the tower’s overturning moment coefficient is about twice that of the overturning force coefficient. The tower’s overturning force coefficient increases approximately linearly with the increase in antenna arrangement layers, while the tower’s overturning moment coefficient exhibits a nonlinear increase with the increase in antenna arrangement layers. The rate of increase in the wind load with the antenna arrangement layers is significantly greater than that with the antenna arrangement number. Thus, to reduce wind load, it is advisable in practical engineering applications to increase the antenna arrangement number per layer, thereby reducing the antenna arrangement layers. The study also summarized a calculation method for the structural wind load of telecommunication towers, taking into account the influence of antenna arrangement parameters, providing a reliable basis for the structural design and safety assessment of telecommunication towers in practical engineering.