NECK, CHEST & DÉCOLLETAGE
General information — it’s intended to help you think of questions before your consultation or revisit details afterward
Normal process of ageing include formation of prolonged neck bands (platysma muscle), jaw line less defined, skin quality changes.
Sun exposure (together with genetics) plays significant role in premature (early aging) process in this area, dark pigmentation, dryness of the skin and red lesions.
Sun damage of skin also increases risk of skin cancer. It is very important to ensure regular use of quality sunscreen in neck, chest and décolletage areas. Please, see doctor for skin assessment of sun damaged areas regularly and/or if any of your lesions/spots changed in colour, size or shape and PRIOR to any pigmented lesion removal.
Case on the right: Skin quality
Peelings, home skincare (MAMI, Vista), biorevitalisations
6 months apart
Case below:
- Skin quality (RF needles, laser resurfacing, peeling, lightening, home skin care)
- Dermal filler (lips, lifting points), Nose reduction (combinaiton of Fotona laser and injections), Muscle relaxant injections on lower face, Mild tissue repositioning threadlift.
Photos taken 6 months apart



What treatments for vertical neck bands and other overactive muscles of lower face?
Such neck bands are parts of neck muscle called platysma. Platisma is an interesting muscle, covering the neck and jaw line like a blanket and mainly pulling tissues down.
Therefore most appropriate treatment for movement related vertical neck lines is muscle relaxant injections.
Massetres (large lateral volume) can be relaxed with muscle relaxant injections.
Case on the left: “Transformation” request – lower face definition
1. Skin quality (RF, peelints, lasers, skincare (Vista, MAMI), biorevitalisation) – particularly on skin tightening protocols.
2. Fat dissolve injections upper neck and jawline fat deposits
3. Threadlift, fillers.
12 months period.
Neck Fat – what to do?
Traditionally, neck fat, double chin, jaw jowls has been treated with liposuction surgery. The procudre makes significant improvent, but risks and downtime is nore than fat dissolving injections.
The cases shown are examples only, each person is unique and most appropriate plan will be discussed.
Skin excess – how to improve it?
It is not uncommon part of aging process.
Mild degree – Course of 3 biorevitalisation with peeling and nano threads.
Moderate degree – Options include thread lift with cogs or surgical grade 1 stick lower face lift.
Severe degree – surgical approach usually more appropriate.
How can neck skin tone and texture be improved?
You can use your usual home skin care for face around neck and décolletage areas, apply it all the way down to your breasts.
1 of most evidence based and research is applying sunscreens before going to sun and every 2 hours of sun exposure.
Cosmetic physician can also use number of procedures to improve appearance of neck and décolletage areas.
Advanced grade peels: In our clinic, we individually tailor peels of different active ingredients, concentrations, pH or it’s mix to different areas of skin.
Also, PRP (platelet rich plasma) can work well for quality of skin, especially on a background of clinically determined lack of growth factors and healong. The method is used in different areas of medicine, like joints problems, fasciitis, bursitis, hair loss and many others. It is basically separating most active healing ingredients from your blood and injecting it into problematic ares which needs to be rejuvenated.
What can be done for static wrinkles or lines on neck or chest?
Horizontal lines is common and sometimes can be seen at early age. Skin boosters with hyaluronic acid and added vitamins can be used for such ares with good effect. Also, small dose of diluted muscle relaxants can soften appearance nicely, but risk involves spread into breathing muscles therefore used rarely. Lasers and peels help with skin resurfasing in appropriate cases.
Disclaimer
All photos show case studies as cases examples for educational purposes, Every person is unique – individual plan will be determined during counsult. Doctor (Dr Larissa Milller (MED001835740) Specialist General Practitioner, works closely with each patient to tailor options, discuss pros and cos, treatment risks, alternatives. Cosmetic treatments usually involve a recovery period (significant swelling). Although in most cases, results can be achieved, but it doesn’t stop aging process and it’s like going to the gym – maintenance. An extensive range of further photos of results is available in the privacy of our clinic. Strictly for above 18 years old
