Neck Chest Decolletage

  • 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.

For non-surgical neck rejuvenation a dermatologist can laser, peel, fill & apply suitable treatments to the ageing neck.

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.

Newer generation Hybrid dermal fillers are awesome. They provide good improvements in skin laxity & texture with no downtime. 2-3 sessions, spaced 4 to 6 weeks apart.

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.

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).

IPL is great for large area treatment; esp. the neck & chest.

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.

CO2 lasers can make a difference in skin quality. The downside? It takes 7-11 days to recover, & it requires 2-4 sessions. I have largely replaced this procedure with collagen stimulating dermal fillers & more superficial Hybrid fractional lasers.

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