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Non-surgical treatment options for the neck and décolletage

02 October 2022
Clinical
02 October 2022
Volume 2 · Issue 8

Abstract

Often, the neck and décolletage are forgotten treatment areas, as most people concentrate on the face's appearance. Photodamage is the primary cause of ageing, leading to loss of skin elasticity and dyschromia. Fat loss and redistribution also occurs, which leads to the familiar pattern of ageing. Treatment of the neck and décolletage differ, as the later has minimal fat to act as a buttress for deeper treatments. Effective intervention relies on a good history, examination, management of expectations and sensible treatment choice. The options are extensive, and it is usually a combination of treatments that provide the best outcomes.

Skin ageing occurs through a combination of genetics, environmental factors, hormones and metabolic processes. Ultraviolet (UV) exposure is the main factor (Rittié and Fisher, 2002). Ageing affects the neck and décolletage in similar ways to the face; however, it is an area frequently ignored when treating the face, which leads to a mismatch between the appearance of the face and neck/décolletage. Treatment options for this area are wide-ranging.

The main ageing issues experienced by patients are loss of skin elasticity and volume, leading to wrinkles and loose skin, and dyschromia. There is also fat loss in the neck and fat descent over the jawline from the face. Furthermore, platysmal bands can develop in the thinner neck, which may be considered cosmetically unsightly.

Generally, patients with thicker skin, less dyschromia and some retained skin elasticity are likely to respond better to treatment (Shadfar and Perkins, 2014). The décolletage area has thinner skin with less adipose tissue and sebaceous glands, so it is sensitive and requires more careful treatment than the neck or face.

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Ageing
Combination treatments
Skin elasticity
Fat loss
Photodamage