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Chemical peels do very well for the neck and chest areas . You have to do a few or multiple ones though. I like the 14% Jessners solution + 15-20% TCA peels for the neck and the 14% Jessners solution + 25-30% TCA peels for the chest. Depending on the amount of sun damage etc..., a patient will often need about 3-4 peels at 2-4 weeks apart. Costs run about $1000-1500 for a neck and chest peel. Aftercare with Retin A , Pravage MD, or Copper creams and sunscreens are very important also.The peels will get rid of the discolorations and age spots and wrinkles quite well but you still can be left with broken capillaries or a ruddy reddish color from chronic sun exposure call poikyloderma of civatte. This then needs several IPL treatments . I like the Prolite II for this. Cost is roughly $500 per session.David Hansen, MD
You can certainly get a chemical peel on the chest- just be careful. The chest is much more sensitive and can scar rather easily due to the delicate nature of the skin. Improving texture of the decollete area often involves several modalities to provide the maximal benefit:Ablative laser resurfacing- Fractionated C02 resurfacing or erbium at a lighter setting can help build up collagenFractora- RF needling can help improve the texture and collagen creation in the skin hereIPL- can help improve the brown spots and discoloration of the areaMelanage or Cosmelan- Peels can help improve the appearance of the discolorationSculptra- Dilute Sculptra can help improve the texture of the skin and crepy appearance of the skin.
Of course! Light acids are greatfor the neck and chest. In fact I would recommend peels for these areasmonthly. Women tend to focus only ontheir faces until it's too late, after which stronger peels and lasers are needed to address complexion concerns on the chest. The neck is an extension of your face and prevention is important.A good skincare regimen and sun protection are important as well. Depending on what kind of peel isperformed, the skin on your neck may get a bit sensitive. A good glycolic acid can be used as fine line prevention. The chest isn’t generally as sensitive as theneck so you may go stronger, especially if sun damage is present.
Be very careful with peels to the neck and chest. These sensative areas do not heal as well after peels as the face does. The difference is the thickness of the skin and presence of oil glands and hair follicles that allow the face to heal quickly and completely. This is not the case with the neck and chest. Use very superficial peels, such as glycolic or natural acids, and pretreat with a low concentration of Retinoic acid first (retin-A). Whatever you do, make sure you go to a certified plastic surgeon or dermatologist for this treatment.
Chemical peels are a generic term for an exfoliative treatment precipitated by the application of a chemical, usually an acid. The ph and pKa of an acid typically predicts the level and depth of a peel. Although chemical peels can be safely performed on the neck and chest, deep dermal peels are not indicated for this particular anatomic area.I routinely perform chemical peels in these areas with great success.