Indications

Vertical wrinkles can emanate from the cleavage area superiorly, especially when the arms are crossed. These wrinkles can be mild in younger patients, yet become deep-set creases in older patients. Such wrinkles may be troublesome to women who like to wear blouses or dresses with low necklines.

Anatomic Considerations

The platysma muscle originates in the chest attaching to the fascia of the pectoralis major muscles generally at the level of the second interscostal space. In some patients, this origination can be lower and contributes to the presence of décolleté lines.

The skin of the chest is often quite photodamaged, and complete treatment of the décolleté may involve a combination of skin care and intense pulsed light (IPL) treatments.