Brisbane’s high UV index accelerates photo aging of the chest, décolletage and neck areas. Skin aging in these areas can present as pigmentation, loose skin, wrinkles, redness and uneven and dull skin texture. Treatments are aimed at reversing individual problems. I use a variety of lasers and skin tightening devices to accomplish an even blend and rejuvenate your skin, turning back time.
- Skin aging on the chest and neck can present as discolouration, wrinkles, and skin laxity
- Treatments will depend on the predominant colour of skin aging- either brown, red, or a mixture of both
- Some patients present with skin laxity and others with neck banding due to overactive muscles
- Uneven skin texture can be treated with lasers including vascular lasers, Fraxel and IPL
- Skin tone, sun damage, and wrinkles can be improved with fractional laser resurfacing using CO2 laser and skin tightening with Ultherapy
- As with all my treatments, a tailored approach will give the best results
As with all my treatments, the solution depends on the problem. Some patients present with predominantly discolouration, whilst other clients present with skin laxity / loose skin on the neck and décolletage.
If discolouration is present I either use Fraxel Laser to treat brown, and Vascular laser to treat red. Most patients will have a combination of both, in these cases I may use IPL combined with Fraxel, followed by Vascular Lasers such as the Pulse Dye Laser.
If skin laxity is the primary concern, Fraxel Fractional Lasers can tighten sun damaged skin. I also use Ultherapy in this area as this can stimulate collagen and reduce the amount of wrinkling on the chest and neck areas.
All treatments are tailored for the type of sun damage or ageing that is present on examination.
Red neck and chest areas can be treated with lasers, however 3-5 treatments maybe need for optimal outcomes.
Redness is due to a condition known as Poikiloderma of Civatte. This is due primarily to UV radiation – hence it affects exposed areas of the neck and chest. It can present as redness, or a mottled red-brown appearance.
Depending on the severity of this condition, I use a mixture of lasers and light treatments.
Vascular laser– This is my favoured laser if pigmentation is primarily red. 4-6 treatments are needed.
IPL / BBL – this is good for mixed colours including brown and red.4-6 treatments are needed for best outcomes.
Fraxel 1927– this is ideal for brown pigmentation associated with sun damage, including wrinkles and cobblestone skin.
I often combine treatments as most patients will have an element of sundamage, redness and mottled brown discolouration.
For more information on this condition, please refer to an article written for the College of Dermatologist – Poikiloderma of Civatte, by Dr Davin Lim and Michelle Rodrigues. https://www.dermcoll.edu.au/atoz/poikiloderma-civatte/
Chest treatments with Fraxel and BBL combinations work well
Creams have a minimal impact on pigmentation. The use of Fruit acids, combined with bleaching agents can ever so slightly improve brown discolouration.
Creams such as Vitamin A, B, and C are best used after laser treatments as maintenance therapy. I use the Clear+Brilliant laser to infuse vitamin into the skin. This program is aimed at preventing sun damage after the skin rejuvenation procedure.
Prominent neck bands can be seen if you say the letter ‘e’. These can be effectively treated with BOTOX injections. These neck bands also pull down your muscles that attach to the jawline. Relaxing these muscle can give an instant neck lift, with no downtime. This procedure needs to be repeated 2-3 times per year.
Before and after treatment with Botox. Treatment takes 5-10 minutes and is virtually painless.
This will depend on the severity of your pigmentation, sun damage and the amount of wrinkles. As a guide-
- Discolouration of the neck (poikiloderma)- 4-6 treatments
- Neck rejuvenation with lasers and Ultherapy – 2-4 treatments
- Fraxel neck and chest rejuvenation – 2-4 treatments
This depends on the laser we use, as a guide-
- Vascular Lasers– 3-4 days of bruising, can be covered up with make up
- Lasers for brown pigmentation- 7-9 days recovery
- Lasers for skin tightening- neck tightening 7-10 days recovery
Laser treatment for the neck, chest and décolletage area takes longer to heal compared to facial areas because of the lack of pilosebaceous or hair units. New skin is generated from these key unit areas.
Yes. TCA peels can be very effective in treating sun damage and pigmentation on the neck and décolletage area, however lasers are safer, and achieve a more natural outcome. In the past 2 years, Fraxel and Fractional lasers have replaced old-fashioned TCA Chemical peels.
Chemical peels performed by Specialists like Dr Lim can be effective, however patients will still require several treatments. Over the years TCA Peels have been replaced by Fraxel laser. Laser is safer, and is more comfortable for recovery.
Unlike faces, chest and necks will require more sessions to get a good result.
As a guide-
- Fraxel laser chest and neck starts from $1290 per session (2-4 needed)
- BBL or IPL laser from $410
- Vascular laser for treating red – Pricing varies with areas treated. Ultherapy for skin tightening and wrinkle reduction – Price varies according to severity and number of treatments.
No. Neck, chest and décolletage rejuvenation treatments are considered as cosmetic and not covered by Medicare, nor by health insurance.
By Dr Davin Lim
Laser and Aesthetic Dermatologist
Living in Brisbane, the Sunshine State’s capital exposes us to marked UV indexes, as a result, sun damage to exposed areas of the face, neck, chest, and décolletage is a very common condition.
With the even of new lasers, this once ‘impossible to treat’ condition can now be safely and effectively managed with excellent results that look natural. The flip side? Unlike facial skin, the chest, neck and décolletage areas take many more treatments to achieve the same result.
Patients will present with a combination of either pigmentation and/or skin laxity. A detailed examination will reveal what lasers will be best suited to the skin type. Lasers such vascular lasers will target redness, whilst Fraxel will target skin laxity, sun damage and brown areas. Most patients will require a combination of treatments for best results. I often combine lasers, skin tightening devices such as Ultherapy, and lately PRP all in the one treatment to address skin texture and tone. I find combination treatments in this area gives superior results than just one method.