The deployment of Large Language Models (LLMs) in recommender systems for Click-Through Rate (CTR) prediction requires a careful balance between computational efficiency and predictive accuracy. This paper introduces OptiRAG-Rec, a comprehensive framework that integrates Retrieval-Augmented Generation (RAG) with a novel multi-head early exit architecture to address both challenges. By leveraging Graph Convolutional Networks (GCNs) as efficient retrieval mechanisms, the framework significantly reduces data retrieval times while maintaining high model performance. Additionally, the multi-head early exit strategy dynamically terminates inference based on real-time predictive confidence assessments, enhancing responsiveness without sacrificing accuracy. Experimental results demonstrate that OptiRAG-Rec reduces computation time while preserving the precision required for reliable recommendations, establishing a new benchmark for efficient and accurate LLM deployment in recommendation.