Best treatment for wrinkles and laxity on neck and chest? (Photo)

Question

I would like to improve the tone of my neck and remove wrinkles due to sun damage on my chest. I have had IPL, and that improved the blotchiness. I have heard that Ultherapy for laxity and Halo or Erbium lasers might work for wrinkles (Note, I don't leave the house without a 100 sunscreen! One trip outside with a 100 sunscreen and no covering on my chest gave me this tan. Frustrating. )

Laurie A. Casas, MD, FACS · Answer

Ultherapy is a great option for skin laxity on the neck and jawline and for deeper wrinkles on the décolletage.  It is difficult to tell from the photos but if the wrinkles are more superficial, then1540 non-ablative fraxel laser would work great.  Fractional Laser skin resurfacing uses laser energy microbeams on many different skin types to dramatically improve skin. It works on challenging scars, fine lines and ‘rough’ texture to create smoother, healthier, younger looking skin.Ultherapy is better for patients that have mild to moderate skin laxity.  Ultherapy works by administering ultrasound energy to specific depths of skin and muscle with precise ultrasound guidance, which causes tissue tightening and collagen production.The two treatments together produce the ideal results.  I recommend an in person consultation from a board certified plastic surgeon.  Good Luck!

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Sam Naficy, MD, FACS · Answer

Best on your photos you would be a great candidate for a combination of Ultherapy and Fraxel treatments.  Ultherapy addresses laxity of skin and builds collagen.  The Fraxel will help with the sun damage.

Manjula Jegasothy, MD · Answer

Also, the Viora® radiofrequency laser is great for superficial skin tightening ("the chicken-skin appearance" in the lower neck) of the face, neck and body also.

Grant Stevens, MD · Answer

Hi and thank you for your question! Yes, I do think Ultherapy would be great to help lift and tighten the neck!  As far as the chest, its hard to see a clear view on the wrinkles, but it seems like its more surface, textural irregularities from sun damage, as opposed to the deeper wrinkles that Ultherapy can be helpful with. For this concern, we would recommend two Halo treatments, and if you wanted more improvement in the color and tone, we would recommend BBL be combined with that, as well. Best, Dr. Grant Stevens

Best treatment for wrinkles and laxity on neck and chest? (Photo)

Answers (5)