Treating the neck and decolletage

The neck is a difficult area to treat, and results vary widely essentially, the neck remains a surgical indication. The skin on the decolletage responds all too readily to serious injury by forming scars that are often hypertrophic. 

The decolletage is usually treated at the same time as the face and neck. It does not really matter which order these areas are treated in, other than out of consideration for the patient s comfort, as treating the decolletage is usually less painful than the face. The basic protocol for Easy TCA (ETCA) should be used. The peel should be repeated four times at weekly intervals on the face and at 2-weekly intervals on the neck and decolletage, which take twice as long to flake as the face. 

This is treated with a combination of Only Touch and ETCA (see Chapter 22). Regular maintenance treatment as well as sun protection are essential to avoid recurrence or the appearance of new lentigines. 

Only the top part of the decolletage has been treated with two sessions of four ETCA peels there is a noticeable improvement in the texture of the skin in the treated area. 

Treatment of lentigines on the hands and decolletage with Only Touch plus ETCA. 

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