The neck and chest age differently to the face, and respond poorly to treatments designed for facial skin.
The skin on the neck and chest is thinner than facial skin, has fewer oil glands, moves constantly and receives more cumulative sun exposure than most people realise. It also tends to be left out of skincare routines that stop at the jawline.
The result is a characteristic pattern: horizontal neck lines, crepiness, loss of firmness, and on the chest, sun-related pigmentation and fine vertical lines. None of it responds well to facial protocols applied lower down.
At Dr Ellie Sateei’s London and Sevenoaks clinics these areas are assessed and treated on their own terms. Results vary between individuals.
There is no single treatment, and which is appropriate depends on what has changed.
For laxity and crepiness, Profhilo spreads through the tissue to improve firmness and hydration across a broad area, which suits the neck particularly well. Polynucleotides support repair in thin, compromised skin. Collagen stimulators, often diluted, build firmness over months where more structural improvement is needed.
For fine lines and skin quality, skin boosters improve hydration and texture. PRX-T33 is especially useful here, because it delivers a collagen response without the peeling that makes conventional peels impractical on the neck. Microneedling can be used at a shallower depth than on the face.
For pigmentation on the chest, the answer is skincare and peels rather than an injectable, combined with daily photoprotection. Sun damage on the décolletage is cumulative and largely preventable, and the routine matters more than any single treatment.
Platysmal bands, the vertical cords that become visible on the neck, are muscular and treated with botulinum toxin rather than with any of the above.
What none of these do is lift. Significant neck laxity is a surgical question, and Dr Sateei will say so rather than selling a course that cannot reach it.
It may suit you if you are looking to:
It is not the right route where neck laxity is advanced, which is surgical, and it will not address prominent platysmal bands without muscle treatment. Injectable elements are not recommended during pregnancy or breastfeeding.
This depends on the route chosen and is set out clearly at consultation. Skin boosters and polynucleotides involve small injections across the area with minimal downtime. PRX-T33 involves no peeling. Collagen stimulators may require post-treatment massage.
Hydration improvements generally show within two to three weeks. Firmness builds over one to three months as collagen responds. Pigmentation on the chest is the slowest, often three to six months of consistent skincare.
Most routes are planned as a course with maintenance afterwards.
| Treatment | London | Sevenoaks | |
|---|---|---|---|
| Skin booster, Profhilo | From £350 | From £350 | |
| Skin booster, Redensity 1 | From £295 | From £295 | |
| PRX-T33, single session | £175 | £175 | |
| Radiesse, collagen-stimulating treatment | From £690 | From £690 | |
| Anti-wrinkle injections, platysmal bands | From £495 | From £395 | |
New patient consultation, £195 at both clinics. If you go ahead with treatment on the day of your appointment, this fee is deducted from the cost of your treatment.
Prices correct as published and subject to change.
“People come to me with a beautifully maintained face and a neck that tells a completely different story, and it is almost always because the skincare stopped at the jawline and the sunscreen never got that far. I treat the area properly, with products suited to thinner skin, but I also have the boring conversation about SPF on your chest, because that is what would have prevented most of it.”
Dr Ellie Sateei has over two decades of experience in dermatology and aesthetics.
From £350 for Profhilo, from £295 for a skin booster, £175 for PRX-T33 and from £690 for a collagen stimulator. Your consultation is £195, deducted from treatment on the day.
That depends on whether laxity, texture, pigment or muscle is the dominant change. Each has a different answer and it is decided at assessment.
No. These treatments improve firmness and skin quality. Advanced laxity is a surgical question and Dr Sateei will say so.
Those are platysmal bands, which are muscular and treated with botulinum toxin rather than with skin treatments.
Through skincare and peels rather than an injectable, combined with daily sun protection. Chest pigmentation is cumulative and largely preventable.
It can be slightly more sensitive, as the skin is thinner. Numbing is available and the technique is adjusted accordingly.
Neck and Décolletage treatment is often planned alongside these.
The neck and chest need treating on their own terms, and which route suits you depends on whether laxity, texture, pigment or muscle is the change you are seeing. An assessment will establish which, including if the honest answer is surgical. Dr Ellie Sateei sees patients at her London and Sevenoaks clinics.
Our London clinic is located at 91a New Cavendish Street, London, W1W 6XF
We serve patients from London, Kent and the home counties as well as from all over the world. Our London clinic sits in the heart of Marylebone, within easy reach of the West End by tube, while our Sevenoaks clinic in Ightham is moments from the M25 and M26 for patients across Kent.
