- Best ResultsVariable
- Treatment RecoveryVariable
- Procedure TimeMinutes
- Skin SpecialistNurse
- Duration of ResultsYears
- AnaestheticNA
- Back to WorkImmediately
- Cost$-$$
Neck Chest Decolletage
The Neck Chest Decolletage is an extension of the face. Do not neglect this area. Wrinkles can be treated with dermal fillers, lasers, threads & energy devices such as high intensity focused ultrasound or HIFU. Compared to the face, two to four sessions are recommended for optimal results.
FactsFacts on Neck Chest Decolletage
- Wrinkles can occur increases, known as necklines or necklace lines. This pattern is usually inherited & age-related
- Wrinkles can occur on the sides of the neck & midline. This pattern is due to age & UV exposure
- Crease line wrinkles of the neck can be treated with dermal fillers & Tixel
- Age & sun-related wrinkles are best treated with fractional laser resurfacing
- Threads can improve cases of mild laxity & neck wrinkles
- Threads are best combined with HIFU & RF heating devices
What causes neck lines & wrinkles?
Neck Chest Decolletage
As with all skin conditions, genetics, age & UV exposure can lead to premature wrinkles & ageing. Aging & genetics cannot be avoided, however protecting your collagen can be achieved with regular use of sunscreens & antioxidants. Remember, your neck, decolletage & chest is an extension of your face, so look after these areas.
What is the best way to treat wrinkles on the neck & chest area?
This area is no different from wrinkles on the face. Deep wrinkles are best treated with dermal fillers, whilst superficial wrinkles can respond nicely to laser resurfacing.
Pigmentation can be treated with vascular lasers or IPL.
What types of dermal fillers are used for chest & neck wrinkles?
Fillers are useful to treat crease lines of the neck & chest. I use a collagen stimulating fillers as well as hyaluronic acid fillers, placed superficially.
For vertical & cross hatched wrinkles on the chest & neck, a more superficially placed hyaluronic acid filler is used. Profhilo is a HA filler that improves and restores skin firmness by providing hydration. This is especially useful in the neck & chest areas.
In some cases, we inject non-cross linked HA fillers very superficially using a V2 Injector. This gives good integration & reduces wrinkles. For neck & chest injectables, expect bruising for 3-7 days. Time your appointments.
What do I really think of PRP for wrinkles?
If you are inclined to upsize your Big Mac meal, then PRP is for you. I don’t routinely employ PRP as I think it is bullsh*t – in the context of collagen stimulation that is. PRP is a treatment used by dermatologists who don’t know how to use fillers. (However, it does have a role in the management of hair loss). The results you may receive from PRP is primarily due to ancillary procedures used to deliver PRP, an example is microneedling.
PRP can give a marginal improvement in healing times. If you would like PRP, ask my clinical nurses for a quote.
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Can PDO threads reduce neck wrinkles?
PDO threads can reduce mild to moderate wrinkles. Treads are best combined with energy devices such as lasers, RF & HIFU (Ultherapy, Ultaformer).
Threads stimulate collagen production via fibrosis. The antiwrinkle effects are best seen 2-4 months after placement. My most frequently used threads are 6’0 mono threads, followed by an energy-based collagen stimulating device 4-8 weeks post threads.
What can microneedling do for neck & chest wrinkles?
Microneedling can be an effective way to reduce wrinkles in just about any area. This includes the chest, neck & decolletage areas. This is an entry level treatment best utilised for mild wrinkling. For an assessment to see if microneedling is right for you, book an appointment with my dermal therapists.
Lasers & energy devices work much better as compared to microneedles as the former generates controlled heating.
Can a plasma pen treat wrinkles on the neck & chest?
Yes, so can battery acid. Results following plasma can be achieved, the problem is the extraordinary side effects with aggressive treatments. This includes plasma pen & fully ablative lasers. Treating this area with plasma is like playing Russian Roulette, sooner or later someone will get hurt. Three words– don’t do it.
Can chemical peels reduce neck & chest wrinkles?
Chemical peels are an excellent choice for facial wrinkles, however on the neck & chest area I prefer lasers as they provide a better safety profile.
Peels include glycolic 20-70%, as well as Jessner-TCA medium depth peels. In some cases, I perform peeling of this area (mostly when I peel the face). I can buffer out the edges of the peel to give a nice blend. Peeling in this area has a downtime of around 12 to 14 days. Yes, it does take that long for the chest/neck/decolletage area to heal up following a medium depth peel.
What anti-wrinkle creams are used in this area?
Anti-wrinkle creams are best employed as preventive or maintenance. A careful selection of ingredients are required depending on the goals. The most common ingredients are-
- Retinoids; including retinoic acids & retinol
- Ascorbic acid; as antioxidants as well as collagen stimulation
- Ferulic acid; is powerful antioxidant
- Tocopherol is good for sensitive skin. Combined with vitamin C for antioxidants
- Pigment inhibitors improve light reflex. Decreases appearances of fine wrinkles
- Alpha hydroxy acids; exfoliate & hydrate the skin, resulting in less wrinkles
Disclaimer: Skin care advice is given by my clinical staff. My work focuses on procedural dermatology, namely surgery, lasers, deep peels & complex injectables.
When is surgery indicated?
Surgical intervention is considered if you have severe laxity. This operation is called a neck lift & is often performed in conjunction with a deep plane face lift or a short scar face lift. The most qualified specialist to perform this procedure is a plastic surgeon.
Surgical intervention is the Gold Standard for laxity, however in many patients, they still require improvements in skin quality, namely pigment & sun damage. Lasers are used in this instance, either before or after surgery.
What does a neck/chest treatment program look like?
The program depends on the amount of wrinkling & background pigmentation. Examples are-
- Mild To Moderate Chest Wrinkles
Treat with: Thulium or Co2 laser +/- IPL, BBL, Vascular or Pico lasers
Maintain with: RF devices, Retinoic acid & AHAs
- Moderate to severe Chest Wrinkles
Treat with: IPL, laser resurfacing & collagen stimulating dermal fillers
Maintain with: Retinoic acid & AHAs
Who to see for neck wrinkles?
For mild wrinkling & pigmentation, book a consultation with my clinical nurses. They can provide a complete treatment plan based on fillers, lasers & skin care.
I am involved in treating deeper wrinkles with surgical, laser & dermal filler techniques.
Davin’s Viewpoint on treating neck, chest & decolletage wrinkling
Given the marked UV index in Queensland, rejuvenation of the neck, & chest areas is frequently requested. Think of your neck as an extension of your face.
The most important step is to photo protect this area. This means twice a day use of sunscreens & preferably clothing. It is never too late to develop good habits. My team & I can reduce/remove wrinkles in this area, but to get long lasting results, sun protection is paramount.
For improvements in skin quality, I prefer lasers over chemical peels in this area. The former is far safer, however in select individuals I still perform medium depth Jessner TCA (usually sun damaged skin with thick dermis & elastosis, pigmentation, sunspots).
My team and I use various lasers, depending on the job. The most popular devices include IPL/BBL, CO2 fractional lasers, erbium fractional lasers as well as RF & HIFU (Ultherapy or Ultraformer). Occasionally I employ microneedling devices including Morpheus 8, Infini, Secret RF & Genius RF. The skin of this area is thinner (dermal layer), & hence treatments must be conservative.. This inevitably leaves gridding from radiofrequency heat, especially common in more powerful devices.
Dermal fillers are popular for treating volume loss in facial areas; however they are invaluable for treating neck lines (‘necklaces’) as well cross hatching & those pesky vertical lines on the mid-chest/between the breasts.
