Summary: As far back as the 11th century, exposing the neck, chest, and shoulders has been very much in vogue in women’s fashion. Yet, as women get older, it’s normal to see some of the first signs of aging in this sensitive area, commonly called the décolletage. For women who hope to rejuvenate their décolletage and restore a smoother, more youthful look, there are several med spa procedures that can help. The best med spas typically focus on a combination approach, incorporating one or more of the treatment options below to deliver the most beautiful results.

1. Sun Protection

Because the skin covering your sternum and neck is especially thin, it is also especially vulnerable to sun damage. Over the years, the increased thinning of this skin along with cumulative exposure to the sun and even surprising factors like your posture when sitting, standing, and sleeping can combine to create a prematurely creased, aged look to the décolletage. Chronic sun exposure can also distort collagen fibers and lead to rougher texture, hyperpigmentation and spider veins.

We are well-trained to apply sunscreen to our faces every day, but how often do you include your neck and chest in your sun protection routine? While it’s important to shield your face from the sun, women often display age first in their necks, chests, and hands. Don’t forget to regularly apply a full-spectrum dermatologic-grade sunscreen to your décolletage to delay the development of sunspots and wrinkles that could make you look older before your time.

2. Skin Care Routine

Just as with sunscreen, it’s common for women to focus on skin care for the face while neglecting the thin and particularly fragile skin of the neck, chest, and shoulders. If you haven’t already, you may want to switch to a special cleanser designed for more mature skin, and be sure to use it on your neck and décolletage as well as on your face. Consider upgrading to a richer, high-quality neck cream to use afterwards to keep these areas moisturized, replenished, and refreshed, giving your skin the nutrients it needs to help tackle premature aging more effectively.

Many women find that products with firming and resurfacing ingredients are especially effective for the décolletage. Consider products containing ingredients such as alpha hydroxy acids (AHAs), retinol, palmitoyl pentapeptide-3, and hyaluronic acid to see the greatest anti-aging benefits. You may also look into medical-grade skin care products for even more impressive results.

3. Laser Resurfacing

For more advanced age spots or rougher skin texture, you may want to consider laser resurfacing for skin rejuvenation. Non-ablative lasers can gently and effectively stimulate production of collagen while decreasing sun damage and hyperpigmentation. You may also see increased firmness in the skin of the chest and neck.

4. Dermal Fillers

With age age, women often find that the skin of their décolletage loses elasticity and smoothness. Dermal fillers counter the cumulative effects of sun damage, environmental exposure, and other causes of premature aging. Dermal fillers are an excellent solution for improving the appearance of skin around the décolletage, especially if deeper lines have already formed. By plumping fine lines and fighting “crêpey” texture, dermal fillers add volume the epidermis from below for a smoother look. These fillers are a powerful nonsurgical rejuvenating treatment for the neck and chest as well as the face. Both Restylane® and JUVÉDERM® are good injectable fillers for reducing wrinkles and creases in these areas while restoring a fresher, more youthful appearance.

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