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06-17-11 | Posted by

Do you hide your decollete because of deep creases, brown spots, or crepey skin?  So many women cover up their chests and are not comfortable wearing low cut dresses and revealing tops because they have lines, wrinkles, blotches, and redness from cumulative exposure to the sun.  They see a noticeable contrast between the skin of their faces, neck and their chest.

Because the décolleté is thinner with fewer oil glands it is more susceptible to sun damage, aging and irritation and slower to heal from injury and age related changes. The skin on the décolleté area is also more sensitive than skin on other parts of our body and has less elasticity as there is no fat tissue to act as a cushion.  So the skin is more likely to have dryness and discoloration or hyperpigmentation.

A comprehensive anti aging regimen must include the delicate and often overlooked area of the décolleté. By the time you reach your 40s y0u may find yourself wearing  crewnecks, scarves and bib necklaces just to cover up. But your dermatologist or plastic surgeon can remove dark spots and spider veins and improve skin texture as well as fine to deep lines with a syringe, needle or beam.

According to Dr. Ringpfeil from Ringpfeil Dermatology in Philadelphia, if the lines and wrinkles on your chest are the result of hyperactivity of the lower part of the platysma muscle, which is located under the skin of the neck and upper chest, the off label use of Botox Cosmetic or Dysport can help in this area to relax these muscles to smooth out vertical creases. Another effective treatment for the décolleté are Juvederm or Restylane to plump up deeper lines in your cleavage .

If the lines of your décolleté are static, meaning they are present at all times, it helps to stimulate new collagen and rejuvenate the area. The first line of attack is specific light-based treatments with wavelengths that target dark spots and redness due to broken capillaries. Intense Pulsed Light treatments can work to restore elasticity and improve texture and tone of the skin of the chest area. These treatments are fast, effective and painless with no downtime, and are typically done in a series of four to six for best results. After a series of treatments, an overall resurfacing of the upper chest and décolleté can be done to gently smooth the entire chest area.  Syneron elos Plus, which combines Sublime and Sublative Rejuvenation, can also improve texture and tone of the skin and reduce discoloration.

According to New York Plastic Surgeon Z. Paul Lorenc, “Scultpra Aesthetic differs from other dermal fillers because it is designed to stimulate collagen production over time, and effectively creates a lifting and thickening effect when it is injected repeatedly, leading to volume creation. It works particularly well in a diluted form to smooth vertical creases between the breasts.”

Another option is SilkPeel Dermal Infusion, which can be expanded from your face to the chest area to remove surface debris, dead skin and improve impurities. If you have occasional breakouts in this area, a combination therapy of SilkPeel microdermabrasion and mild peels offers effective acne fighting.

The next step is to use a physical or chemical sunblock daily to protect the décolleté from UV rays and environmental damage. A gentle daily exfoliation containing alpha hydroxy acids, followed by a retinol two to three times a week will keep skin firm and smooth. Finally a moisturizer that contains barrier lipids and hyaluronic acid provides moisture and highlights your new healthier skin.

When you are ready to show off your décolleté, try using a cream or powder bronzer between your breasts to highlight the area and attract the light. We love By Terry Bronze-Expert Sun Beach – $56 barneys.com


  1. Cleanse your neck and chest area with a gentle cleanser AM and PM; avoid harsh detergents that may be too drying for delicate décolleté skin
  2. Dry your skin carefully by patting the area with a towel
  3. Apply a special neck and décolleté moisturizer that contains active anti-aging ingredients
  4. Always use a generous amount of sunscreen – preferably SPF30 – to the décolleté area 20 minutes before you go outside.
  5. Twice weekly or as your skin tolerates it, use a gentle exfoliating treatment in the shower to remove dead skin


Elure Advanced Brightening Lotion or Cream, $135, lovelyskin.com

Osmotics Necollete Age Reversal for Neck and Chest, $75, skinstore.com

NeoStrata Exuviance Toning Neck Cream, $38, neostrata.com

SkinCeuticals C E Ferulic, $144, skinceuticals.com

Lierac Paris Bust Lift Spray Treatment for Bust and Decollette, $45, skinstore.com

Lumixyl Topical Brightening Creme – $120, lovelyskin.com

Avon Skin So Soft Renew & Refresh Age-Defying+ Corrective Neck & Chest Treatment SPF 15, $12, avon.com


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