Smooth. Tighten. Even. Repair—From Collarbone to Chin.
The neck and chest are among the first areas to show signs of aging, yet often the last to be treated. At Spectrum Skin Clinic, we offer physician-led, device-integrated therapies to reverse sun damage, boost collagen, and refine texture in this delicate zone. Whether you’re noticing crepiness, pigmentation, volume loss, or surgical scarring, our customized neck and décolleté protocols are designed for real structural improvement—not just surface smoothing.
Common Concerns We Treat
- Horizontal neck lines (“tech neck”)
- Crepey, thinning skin on the chest
- Sun spots and pigmentation
- Mild jowling or submental laxity
- Post-surgical or acne scars
- Volume loss and skin laxity
Treatment Options for Neck & Chest
| Technology | Description | Best For | Downtime | Fitzpatrick Skin Types |
|---|---|---|---|---|
| Light & Bright by Candela (IPL + 1550nm resurfacing) | Combines Selective Waveband Technology (SWT IPL) with non-ablative fractional laser to fade sun spots, smooth texture, and gently stimulate collagen. Safe for light to medium skin tones | Pigmentation, photodamage, mild texture issues | None to mild redness (1–2 days) | I–III |
| Secret RF with CO2 (Dual Technology) | Combines fractional CO2 with RF microneedling for advanced resurfacing and collagen regeneration. Especially useful for scars, deep wrinkles, or long-term sun damage. | Textural repair, surgical scars, lines, laxity | 3–7 days depending on settings | I–IV (caution with V+) |
| Fractional CO2 Laser (Standalone) | Ablative resurfacing option to resurface etched-in lines, reduce surgical scars, and improve tone and texture. Long-term collagen benefits. | Static wrinkles, scars, severe sun damage | 5–7 days | I–III only |
| Hyperdilute Radiesse | Injected into the dermis to stimulate collagen and improve volume subtly. Ideal for chest crepiness or thinning neck skin without bulk. | Volume loss, firmness, collagen induction | Minimal (bruising possible) | All |
| Rejuran Skin Boosters | Topical or injectable PDRN (polynucleotides) that promote barrier repair and collagen synthesis. Excellent after microneedling or CO2. | Sensitive skin, post-inflammatory pigmentation, long-term healing | None to 1–2 days with microneedling | All, including rosacea-prone |
| Smooth PDO Threads | Inserted under the skin to stimulate fibroblasts and improve skin firmness. Especially effective for horizontal neck bands and fine lines. | Tech neck, crepey texture, mild laxity | 2–4 days (swelling/bruising) | All |
| Sculptra (Poly-L-Lactic Acid) | Injected to stimulate collagen over time, especially in volume-depleted, sun-damaged chest. Results build slowly and last over 18 months. | Volume loss, deep crepiness, long-term improvement | Minimal (massage required) | All |
| VZet HIFU (High Intensity Focused Ultrasound) | Non-invasive tightening for neck skin laxity, mild jowling, and submental contouring. Ideal for patients avoiding needles or downtime. | Jawline tightening, neck lift, double chin | None | All |
Clinical Evidence & Data
According to Merz, "Recent studies highlight the efficacy of diluted and hyperdiluted Radiesse®. A multicenter randomized clinical trial involving 117 women compared the effects of three versus two injection cycles of hyperdiluted CaHA (1:2 ratio) over 16 weeks (1).
Results showed significant improvement in décolleté wrinkles at 32- and 52-weeks post- treatment, with 73.5% of participants showing a
≥1 point improvement on the Merz Aesthetic Scale (MAS) Décolleté Wrinkles-At Rest scale. (Figure 1).
Supporting studies by Yutskovskaya et al. (4) and Fabi et al. (5) also demonstrate the biostimulatory effects of hyperdiluted CaHA on skin quality, including improved collagen production and skin elasticity.
These findings underscore the potential of CaHA in both immediate cosmetic enhancements and long-term dermal remodeling."
Technique Spotligh
Proper technique is crucial for maximizing the benefits of diluted and hyperdiluted CaHA treatments. Recommendations include (7,8):
A minimum of 20 mixing strokes to ensure homogeneity of the dilution.
Use of a linear threading technique with either a needle or cannula for deep dermal or subdermal injections.
Immediate use of the mixture post- preparation to maintain sterility and effectiveness.
Advanced techniques from Siebenga and van Loghem include using vectorized figures to standardize injection patterns for comprehensive coverage of the décolletage area, highlighting the importance of precision in aesthetic procedures (9).
Candela Nordlys IPL (SWT) for Sun Damage
Candela’s SWT IPL is a gentler, safer form of IPL, ideal for treating sunspots, freckles, and broken capillaries on the chest. It delivers consistent energy in targeted wavebands to reduce pigment without overheating the skin—a major advantage for those prone to post-inflammatory pigmentation.
- Best for: Photodamage, vascularity, freckles
- Downtime: None to mild flaking
- Skin types: I–III (caution with IV)
Post-Surgical Scars on Chest or Neck?
Fractional CO2 laser can be safely used to improve surgical or traumatic scars in the chest or neck region—especially when paired with PRFM or Rejuran to improve wound remodeling and pigmentation.
Treatment Comparison Overview
| Technology | Best For | Downtime | Fitzpatrick Skin Types |
|---|---|---|---|
| Light and Bright | Sun Spots & Tone | 1-2 days | I-III |
| Matrix PRO | Texture & firmness | 1–3 days | Skin Types: I–V |
| Secret RF + CO2 | Deep wrinkles & scars | 3–7 days | I–IV |
| Fractional CO2 | Resurfacing & scars | 5–7 days | I–III |
| Radiesse (HD) | Volume & skin laxity | Minimal | All |
| Rejuran | Sensitivity & repair | Minimal | All |
| PDO Threads | Neck bands & tightening | 2–4 days | All |
| Sculptra | Long-term collagen stimulation | Minimal | All |
| VZet HIFU | Tightening & lift | None | All |
Who Performs These Treatments?
All services are performed by licensed professionals under the supervision of Dr. Sabeen Munib, a physician specializing in non-surgical cosmetic dermatology and laser medicine.
