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Three-Dimensional Rejuvenation of the Décolletage

Peterson, Jennifer D. MD; Kilmer, Suzanne L. MD

doi: 10.1097/DSS.0000000000000758
Original Article

BACKGROUND Photodamaged skin of the chest is characterized by skin laxity, lines/wrinkles, hyperpigmentation, erythema, tactile roughness, atrophy, and telangiectasias.

METHODS A MEDLINE search was performed on combination treatments in chest rejuvenation, and the results are summarized. Practical applications for these combinations of procedures are discussed.

RESULTS Reports of injectable poly-L-lactic acid (PLLA), hyaluronic acid (HA), and chemical peels, along with lasers and light therapies such as intense pulsed light (IPL), vascular lasers, photodynamic therapy (PDT), nonablative fractionated lasers (NAFLs), ablative fractionated lasers (AFLs), and microfocused ultrasound (MFU) have been reported for chest rejuvenation. Few articles were discovered pertaining to combination therapy. The authors review their approaches to combination therapy.

CONCLUSION Multiple options exist alone or in combination for minimally invasive rejuvenation of the skin of the chest including PLLA, HA, chemical peels, IPL, vascular lasers, PDT, NAFL, AFL, and MFU. Little was found in the literature pertaining to the safety and efficacy of combining such procedures and devices. The authors' experience in clinical practice is that combination, same day chest rejuvenation techniques can be performed safely. A combination approach often produces the most optimal outcome for the patient seeking chest rejuvenation.

*Suzanne Bruce and Associates, Houston and Katy, Texas;

Laser & Skin Surgery Center of Northern California, Sacramento, California

Address correspondence and reprint requests to: Jennifer D. Peterson, MD, 1900 Street James Place, Suite 650, Houston, TX 77056, or e-mail:

J. D. Peterson is a consultant and on the speakers bureau of Galderma, Merz, and Lumenis. The other author has indicated no significant interest with commercial supporters in regards to this work.

© 2016 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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