The skin of the décolleté is particularly delicate due to its thinness, its low density of sebaceous glands and its less structured dermal support compared with the face. It is therefore more vulnerable to the first visible signs of skin ageing.
Décolleté wrinkles appear gradually and manifest in different ways : fine horizontal lines, small creased folds or deeper furrows giving the skin a slightly crinkled appearance. Vertical wrinkles are often seen in the central part of the décolleté, usually linked to sleeping position or the natural relaxation of the chest. Others form in a fan shape, spreading towards the shoulders like small branches. Over time, the skin of the décolleté loses firmness and elasticity : it becomes thinner, drier and sometimes slightly slackened. Initially discreet, these wrinkles become more pronounced with ageing, sun exposure, repeated movements and lack of hydration. Very exposed and naturally fragile, this area often reveals signs of ageing faster than the face, especially when it is not protected or sufficiently cared for.
The process of skin ageing on the décolleté is multifactorial.
Exposure to UVA and UVB rays is the primary factor altering dermal structure. UVA rays, which penetrate deeply into the dermis, degrade collagen fibres and cause the production of free radicals responsible for oxidative stress. The dermis becomes thinner and loses its regenerative capacity. At the same time, UVB rays weaken the epidermal layer, leading to dryness, pigmentation spots and irregularities in the skin’s texture. Oxidative stress related to air pollution accelerates cellular degradation. Hormonal variations, particularly the decrease in oestrogens during menopause, reduce the production of collagen, elastin and hyaluronic acid, resulting in progressive sagging. Finally, sleeping positions on the side or stomach encourage the appearance of vertical folds, which become permanent.
Biologically, décolleté wrinkles are the result of an alteration in the extracellular matrix. With age and external aggressions, fibroblast activity decreases ; these cells, essential for maintaining skin structure, produce less collagen, elastin and hyaluronic acid. The dermis loses thickness, the skin becomes more fragile and wrinkles become more pronounced. Cutaneous microcirculation deteriorates, reducing the supply of nutrients necessary for cellular renewal. Skin hydration levels decrease, making the skin drier, less supple and less radiant. The epidermis becomes thinner, highlighting irregularities and revealing fine lines. In advanced cases, the combination of dehydration, sagging and loss of volume causes permanent wrinkles that are difficult to correct with standard topical care.
The décolleté is a dynamic area, subjected to repeated movements related to posture and sleep ; sleep wrinkles appear and become increasingly marked, especially in women after the age of 40.
Décolleté wrinkles appear gradually and manifest in different forms depending on age, skin quality and lifestyle habits. The first fine lines are often thin, superficial and mainly visible in the morning, particularly in people who sleep on their side or stomach. Over time, these folds become more pronounced and permanent, forming vertical or fan-shaped lines between the base of the neck and the upper chest. The skin of the décolleté may also lose elasticity, become drier and less even, sometimes accompanied by pigmentation spots or redness related to photo-ageing. When wrinkles no longer disappear at rest and the skin takes on a creased or crumpled appearance, this indicates more advanced skin ageing, linked to dehydration, loss of collagen and degradation of dermal structure.
In Geneva, several aesthetic-oriented medical solutions can effectively treat décolleté wrinkles. Their common goal is to stimulate collagen production, improve skin quality, reduce existing wrinkles and restore deep skin hydration. Among the most frequently used techniques are hyaluronic acid injections and Skinboosters, mesotherapy, radiofrequency, collagen stimulators and laser treatments.
Each skin ages at its own pace. This process depends on many factors : sun exposure, heredity, lifestyle, hormonal variations and individual anatomical structure. In an area as delicate as the décolleté, standard treatments are therefore not appropriate. A personalised medical assessment makes it possible to evaluate precisely the quality of the skin, the depth of the wrinkles, as well as sleeping habits or sun exposure.
The most effective protocol generally combines several complementary techniques in order to simultaneously treat volume loss, dehydration and decreased collagen levels. Tailored follow-up, adjusted according to the skin’s evolution, not only optimises the results but also maintains them over time.
The hyaluronic acid is a molecule naturally present in the skin, responsible for its hydration and suppleness.
With age, its concentration decreases, which causes dryness and loss of volume. Hyaluronic acid injections in the décolleté make it possible to fill established wrinkles, hydrate the skin and improve its quality.
The product used is often lightly cross-linked to adapt to the thinness of the skin in this area. Hyaluronic acid also acts as a cellular stimulator by activating fibroblasts, which contributes to a progressive improvement of the dermal structure. The treatment can be occasional or part of a care plan combining hydration, stimulation and prevention.
The number of syringes required depends on the condition of the patient’s skin. Some patients will need one syringe, others five to six syringes.
The Skinboosters represent a particularly relevant solution for treating décolleté wrinkles, a fragile area whose skin is thin and often neglected in skincare. Composed of lightly cross-linked hyaluronic acid, they provide deep hydration without altering volumes, while improving the quality of the skin. Their action strengthens the extracellular matrix, stimulates fibroblasts and promotes the natural production of collagen and elastin. Gradually, the skin becomes more supple, firm and radiant.
This treatment helps smooth superficial fine lines, reduce the crumpled appearance of the décolleté and slow the appearance of new wrinkles linked to dehydration and skin ageing. Skinboosters are therefore an ideal option when one wishes to improve the quality and radiance of the skin.
The dose used is determined according to the condition of the skin : it can range from one syringe to five or six in patients with more pronounced wrinkles. For an initial treatment, two sessions one month apart are often proposed.
The mesotherapy for aesthetic-oriented medicine proves particularly suitable for the thin and delicate skin of the décolleté. This technique consists of injecting, in a targeted and superficial manner, small doses of non cross-linked hyaluronic acid, vitamins, minerals and antioxidants. By penetrating directly into the dermis — where the fibroblasts responsible for collagen and elastin production are located — it activates the natural mechanisms of cellular regeneration. Unlike topical treatments that act on the surface, mesotherapy works in depth : it intensely hydrates, improves skin quality and restores radiance, suppleness and freshness to the skin.
This approach is particularly relevant for prevention or for treating the first wrinkles, as it helps maintain the vitality of the skin tissue and delay the appearance of more pronounced wrinkles. It can also be combined with other more targeted techniques to enhance their effectiveness on established wrinkles.
The mesotherapy protocol for the décolleté generally involves two steps : an initial phase, then a maintenance phase. The initial phase usually includes three to four sessions, spaced two to three weeks apart, depending on the quality of the skin and its degree of ageing. Once the first results have stabilised, maintenance every three to six months is recommended to maintain radiance, preserve hydration and slow the appearance of new wrinkles. The frequency of sessions can be adjusted according to lifestyle, level of sun exposure and the skin’s natural capacity for regeneration.
The collagen stimulators, such as calcium hydroxyapatite or polylactic acid, are particularly effective for treating décolleté wrinkles when these are linked to a loss of dermal density and firmness. Unlike traditional fillers, these treatments naturally stimulate fibroblasts, triggering the natural production of collagen and elastin. They help rebuild the skin structure, improve skin firmness and gradually reduce wrinkles. Their action is progressive and long-lasting, making them a suitable solution when the goal is to strengthen skin support and prevent long-term sagging.
The chemical peels and the laser peels are effective solutions for improving the density and quality of the décolleté skin, particularly when the wrinkles are superficial or associated with pigment irregularities or an altered skin texture. The chemical peel works by removing dead cells from the surface of the skin, thus promoting cellular renewal and better skin homogeneity. The laser peel has a more targeted action : it heats the superficial layers of the dermis in order to stimulate collagen production, without damaging the surrounding tissues. These two techniques induce controlled skin regeneration, helping to smooth certain fine lines, even out the complexion, improve skin quality and restore suppleness, radiance and luminosity to the décolleté.
The photorejuvenation laser and radiofrequency are techniques particularly suitable for treating décolleté wrinkles, as they act in depth while preserving the surface of the skin. Their mechanism of action is the generation of controlled heat in the dermis. This action stimulates the activity of fibroblasts and naturally reactivates the production of collagen and elastin, two elements essential for skin firmness and density. Gradually, the skin becomes more toned, wrinkles fade and the skin of the décolleté becomes smoother and visibly younger.
Well tolerated, these techniques are particularly suitable for thin or fragile skin presenting moderate laxity.
The protocol includes an initial phase followed by regular maintenance. The initial phase usually consists of four sessions, spaced about two months apart, to allow the skin to regenerate and progressively stimulate the natural production of collagen. Once the results have stabilised, one to two sessions per year are recommended to maintain the outcomes.
The fractional ablative laser is a particularly suitable option for treating moderate to deep wrinkles of the décolleté. Its principle relies on creating micro-remodelling zones within the dermis, which intensely stimulates collagen production, activates natural tissue repair mechanisms and improves the skin structure. Unlike softer lasers, it produces a true resurfacing effect, capable of smoothing deeper wrinkles, reducing surface irregularities and improving skin firmness. The results are progressive, with long-lasting improvement in the elasticity, density and quality of the décolleté skin. Often, this treatment is integrated into combined protocols aimed at restoring the overall quality and youthfulness of the skin.
The protocol followed is identical to that of photorejuvenation laser.
The treatments intended for décolleté wrinkles provide progressive and natural results. They depend on the quality of the skin and the method used. Deep hydration treatments, such as mesotherapy or Skinboosters, quickly improve the radiance, suppleness and quality of the skin. Techniques that stimulate collagen production — such as radiofrequency, collagen stimulators or fractional ablative laser — produce progressive results, as the skin needs several weeks to regenerate and produce new collagen and elastin fibres.
Gradually, the skin becomes firmer, smoother and more even. Vertical and fan-shaped wrinkles diminish. The goal is a visible, long-lasting and harmonious improvement in skin quality. In some cases, several sessions or the combination of different techniques help optimise the result and maintain smooth and dense skin over time.
The cost of a décolleté wrinkle treatment varies according to several criteria : the technique chosen, the number of sessions required, the initial condition of the skin and the level of customisation of the protocol. Prices differ depending on whether it is a superficial hydration treatment, a collagen stimulator, a radiofrequency session or a fractional ablative laser.
When wrinkles are mild, a targeted treatment may be sufficient. However, for deeper wrinkles or when the goal is to improve the overall quality of the skin, it is often preferable to combine several techniques.
The price of one syringe of hyaluronic acid is 600 CHF, while one syringe of Skinbooster is offered at 400 CHF.
One mesotherapy session is charged 300 CHF, as is one peeling session.
The price of one laser session is 600 CHF, and that of one radiofrequency session amounts to 250 CHF.
A personalised medical consultation allows for analysing the skin, defining the most appropriate strategy and establishing an accurate quote according to each patient’s needs.
Patients who consult for décolleté wrinkles often mention discomfort related to the creased or marked appearance of this area, especially when wearing open clothing. After treatment, most notice smoother, more supple and better hydrated skin. They particularly appreciate the natural result, as well as the improvement in skin quality and radiance.
Techniques that stimulate collagen production, such as radiofrequency, collagen stimulators or fractional laser, are often recognised for their long-lasting effects. Many also highlight the importance of personalised follow-up, which helps adapt treatments and prolong results. Satisfaction is generally higher when several methods are combined and integrated into a global approach to skin prevention and maintenance.
Preserving the quality of the décolleté skin requires a global approach, combining daily protection, appropriate care and good habits. Sun protection plays an essential role : even in cloudy weather or behind a window, UVA rays penetrate the skin and accelerate skin ageing. Regular hydration with products containing hyaluronic acid, peptides or antioxidants helps maintain the elasticity, suppleness and radiance of the skin.
Everyday habits also play an important role : choose clothing that does not irritate the skin, avoid sleeping positions that create wrinkles and adopt an upright posture to reduce tension on the décolleté.
Superficial fine lines can fade with good hydration and regular sun protection. However, established wrinkles linked to skin laxity and collagen loss do not disappear spontaneously. A targeted treatment is therefore necessary to achieve lasting improvement.
There is no single method. The choice depends on the depth of the wrinkles, the appearance of the skin and the desired result. Skinboosters improve hydration, collagen stimulators increase the production of support fibres, radiofrequency restructures the dermis and fractional laser treats marked wrinkles and improves skin density.
This varies according to the technique and the initial condition of the skin. Skinboosters often require two or three sessions, while collagen stimulators or fractional laser can offer long-lasting results after one or two sessions. Regular maintenance helps prolong the effects.
Most treatments are well tolerated. Injections may cause a slight tingling, radiofrequency a warm sensation and laser an intense heat. A numbing cream can be applied for the patient’s comfort.
Mild redness, slight swelling or small bruises may appear depending on the method used, but they generally disappear within a few hours or a few days. Some treatments, such as fractional laser, may cause temporary peeling.
The duration of the results depends on the technique, the quality of the skin and the lifestyle. The results of Skinboosters last several months, while those of radiofrequency, collagen stimulators or laser last one year or more. Personalised maintenance helps maintain the benefits over time.
Yes. Mesotherapy, Skinboosters or radiofrequency are particularly suitable for a preventive approach, as they strengthen the skin, stimulate fibroblasts and delay the appearance of the first wrinkles.
Absolutely. They can be integrated into a global treatment of the face, neck and décolleté, to avoid a visible contrast between the areas.
It is recommended to consult as soon as fine lines become permanent, the skin looks creased or a loss of firmness appears. Early management helps slow the development of deep wrinkles and achieve more natural and long-lasting results.
