The décolletage, that triangle of skin running from the collarbones down to the top of the chest and up into the neck, is one of the most neglected areas in skincare, and one of the first to give away a person’s age. A patient will have spent years on an excellent facial skincare routine, and then I ask them to lower their gaze slightly and there it is: crepey texture, sun spots, and vertical banding on the neck that simply doesn’t match the face above it.
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The skin here is thinner than facial skin and has fewer oil glands, which means it holds onto moisture far less effectively. It also gets a disproportionate amount of sun exposure over a lifetime, often unprotected, because most people apply SPF to the face and stop at the jawline. Add in the repetitive mechanical movement of the neck, the weakening of the platysma muscle, and the general slowdown of collagen and elastin production with age, and you have a perfect storm for early wrinkling, pigmentation, and volume loss.
Our consultations are in-depth and tailored to you, creating a bespoke treatment plan catering to all of your concerns.
ConsultationDecolletage ageing cannot be reversed with cream alone. Good skincare matters and I recommend it as a foundation, but by the time someone is sitting in my consultation room concerned about this area, they usually need something with more biological effect.
Depending on what I find on assessment, I’ll typically reach for:
There is rarely a single answer. Most patients do best with a combination approach built around what their skin actually needs, not a generic package.
If you take one thing from this page, take this: apply SPF to your neck and chest every single day, all year round, not just in summer. It’s the cheapest and most effective treatment I can offer, and it’s the one thing that stops today’s twenty-year-olds from becoming tomorrow’s consultation.
If you’re concerned about your décolletage, I’d recommend a proper in-person assessment so we can work out what’s actually driving the changes you’re seeing, rather than guessing from a list of symptoms.
Laser Pigmentation is a treatment specifically designed to target sun damage, brown spots, age spots, freckles, and other benign pigmentation issues. The Pigmentation treatment is a laser treatment performed with our industry-leading, FDA-approved Excel V+ Laser by Cutera.
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