The décolleté is often one of the first areas to reveal the signs of time. Fragile, poorly protected and regularly exposed to the sun, this skin shows marks even faster than the face : it becomes thinner, dehydrates, loses firmness, and typical wrinkles gradually appear. Yet it is often neglected in skincare routines, even though it is a feminine asset. Hyaluronic acid is an ideal solution to restore density and hydration to this area.
Hyaluronic acid is naturally present in the skin and plays an essential role in hydration, suppleness and tissue cohesion. With age and climatic or mechanical aggressions, its concentration decreases, leading to a loss of elasticity and the appearance of permanent wrinkles. On the décolleté, this degradation appears as a crumpled look, vertical or fan-shaped wrinkles and sometimes an irregular skin surface. Hyaluronic acid injections help compensate for this deficiency by providing deep hydration, improving the structure of the dermis and stimulating fibroblast activity.
In the context of décolleté rejuvenation, the choice of the type of hyaluronic acid depends on the desired objective. Lightly cross-linked hyaluronic acids, the Skinboosters, provide long-lasting hydration, improve skin quality and help reduce superficial fine lines. When there is deeper alteration of the dermal structure, slightly more cross-linked hyaluronic acids may be used to densify the tissues. These formulations are not intended to create volume, but to restore the skin’s suppleness, density and water-retention capacity.
The injections of the décolleté must be performed by a trained and experienced physician , as inappropriate technique can lead to product visibility and compromise the natural appearance.
Hyaluronic acid is not the only treatment for the décolleté, but it remains the reference solution when the skin is dehydrated, crumpled or becomes less supple. Technologies such as radiofrequency, fractional lasers or collagen stimulators act more deeply, with a progressive effect mainly focused on firmness and skin density.
Hyaluronic acid quickly improves the quality, hydration, radiance and elasticity of the skin. In many cases, combining several techniques offers the best results, especially when the décolleté shows wrinkles, sagging and a crumpled appearance at the same time.
Treatment with hyaluronic acid is particularly indicated when the skin of the décolleté shows visible signs of dehydration, loss of elasticity, superficial fine lines or a persistent crumpled appearance, even at rest.
It can also be offered preventively to patients whose skin is naturally thin, dry or regularly exposed to the sun, in order to maintain hydration, preserve skin quality and slow the appearance of the first signs of aging. Moderate vertical wrinkles, related to sleep position or a loss of dermal density, can also benefit from targeted treatment.
This treatment is suitable for different profiles and all phototypes, as long as a prior medical evaluation allows the type of hyaluronic acid, the injection technique and the treatment depth to be adapted. The goal is to obtain a natural and harmonious result, while preserving the characteristic delicacy of the décolleté skin.
Each décolleté ages differently depending on age, lifestyle, sun exposure, genetics and the natural fineness of the skin.
The consultation is the fundamental step to understand the patient’s expectations, analyze the skin’s needs and propose an appropriate strategy. It allows a reasoned protocol to be established, expected results and possible limitations to be explained, and maintenance modalities to be discussed. Personalized support and evaluation of the skin’s response at each session ensure effective and progressive care.
Dr Romano welcomes you to her practice in Geneva to precisely analyze the skin of your décolleté : hydration level, depth of wrinkles, dermal density and tissue fineness. This assessment helps define the most suitable injection strategy. After thorough disinfection, a lightly or moderately cross-linked hyaluronic acid is injected into the superficial or mid-dermis using the fanning technique or micro-points. The injection method also varies according to the indication : hydration, improvement of skin quality or dermal densification. The procedure requires great precision, as the skin is thin and fragile, and technical mastery is essential to ensure natural integration of the product and a harmonious result. The session, which lasts an average of about twenty minutes, is painless and requires no social downtime.
In the days preceding the session, it is preferable to avoid taking anti-inflammatory drugs, aspirin or blood-thinning supplements such as omega-3 or vitamin E, in order to limit the risk of bruising. It is also recommended not to expose the area to the sun or to use irritating skincare products.
After the injection, the skin must be protected from the sun and from sources of excessive heat such as the sauna or hammam. It is advisable to avoid firm massages and aggressive cosmetics for one week. Maintaining good skin hydration and applying daily sun protection help ensure harmonious integration of the product and prolong the quality of the result.
The protocol is based on two steps : an initial phase, called the attack phase, followed by a maintenance phase. The attack phase generally includes two to three sessions spaced three to four weeks apart. It progressively rehydrates the skin, improves its quality and restores dermal density. Depending on the thickness of the skin and the depth of the wrinkles, the number of syringes used per session may vary between one and five. A gradual approach is essential to ensure a natural, even and long-lasting result, without overcorrection or product accumulation.
Once skin quality is restored, a maintenance session is recommended every six to twelve months, depending on skin type, age and lifestyle habits (sun exposure, smoking, sleep quality, hydration). This regular maintenance helps maintain firmness, stimulate collagen production and prevent the appearance of new wrinkles, while prolonging the effects of the treatment over time.
The after-effects of the treatment are generally simple and well tolerated. Some redness, slight swelling, a feeling of tightness or small bruises may appear, but they disappear spontaneously within a few days. No social downtime is necessary and resuming professional activities is possible immediately.
Thanks to its progressive diffusion into the tissues, hyaluronic acid offers a result that settles in naturally, without any sudden effect. Gradually, the skin regains suppleness, radiance and becomes more even. The stimulation of fibroblast activity restarts the production of collagen and elastin, which durably improves the structure and quality of the cutaneous tissue. The décolleté gradually appears smoother, denser, less creased and visibly revitalized.
The results appear progressively, generally in the weeks following the first session. The skin becomes smoother, less creased and regains its suppleness. Superficial fine lines fade, skin density increases. The skin looks more radiant, better hydrated and visibly revitalized.
The objective is to restore the intrinsic quality of the décolleté skin, while respecting its characteristics and delicacy. The result is natural, harmonious and consistent with the appearance of the neck and the face, without any excessive correction effect.
The aging of the décolleté can become a source of aesthetic discomfort. If you are considering hyaluronic acid injections to restore skin quality and improve your décolleté, a consultation with an experienced physician helps determine whether this treatment is suitable for your skin and your expectations. The choice of hyaluronic acid type depends on the desired objective : Skinboosters are generally offered at 400 CHF per syringe, while slightly denser hyaluronic acids are at 600 CHF per syringe. The number of syringes required varies depending on skin thickness, the extent of the area to be treated and the depth of the wrinkles. The protocol may include two to three initial sessions, followed by annual or semi-annual maintenance, the details of which are determined during the consultation, after a precise clinical evaluation.
Patients who have undergone hyaluronic acid injections in the décolleté describe a noticeable improvement in the quality, suppleness and radiance of their skin, with a visible reduction in the creased appearance and superficial fine lines. Feedback is often positive, particularly among patients with thin, dry or sun-damaged skin. The progressive and natural effect of the treatment is frequently mentioned as a strong point. Patients also appreciate that the skin gradually becomes more hydrated, smoother and less wrinkled.
On a scientific level, several publications highlight the value of lightly cross-linked hyaluronic acid in improving hydration and dermal density in fragile areas, including the décolleté. A study published in the Journal of Drugs in Dermatology showed a measurable increase in skin hydration and elasticity after several Skinbooster sessions. A publication in Aesthetic Surgery Journal also discusses the regenerative impact of hyaluronic acid on fibroblast activity, with an effect that extends beyond simple aesthetic improvement. These data confirm clinical experience : when the protocol is tailored and carried out with precision, hyaluronic acid injection is an effective and well-tolerated approach for rejuvenating the décolleté.
Hyaluronic acid deeply hydrates, improves the suppleness of the skin and reduces the creased or wrinkled appearance of the décolleté. It progressively restores skin quality without altering volumes.
The treatment can be considered as soon as the skin begins to show signs of creasing, often after 35 or 40 years of age, or earlier in patients with thin, dry or sun-exposed skin.
The treatment is generally well tolerated. Slight tingling may be felt.
The protocol includes two to three sessions spaced a few weeks apart, then one maintenance session every six to twelve months depending on skin quality and lifestyle.
Yes, provided that lightly cross-linked formulas or those adapted to the delicacy of the skin are used.
The results appear progressively : the skin becomes smoother, more supple, less creased and visibly better hydrated. Superficial fine lines fade, the cutaneous tissue appears more homogeneous and the skin regains a more even and more radiant texture, while maintaining a natural appearance.
The side effects are most often mild and temporary : redness, small bruises or slight sensitivity to touch. They disappear spontaneously within a few days. Complications are rare when the treatment is performed with appropriate products and a well-controlled technique.
The results generally last between six and twelve months, depending on the type of product used, the quality of the skin and lifestyle. Regular maintenance helps prolong the effects, stabilize skin quality and slow visible aging.
Yes, hyaluronic acid can be combined with radiofrequency, collagen stimulators, fractional laser or mesotherapy to enhance firmness, stimulate dermal regeneration or treat pigmentation spots. This global approach improves the quality and longevity of the results.
It is advisable to consult as soon as persistent fine lines, creased skin or a noticeable loss of suppleness appear. Early management allows for more harmonious results and helps prevent the formation of permanent wrinkles.
