Wrinkly Chest

Wrinkly chest describes visible signs of ageing or skin damage on the upper chest, décolletage, and sometimes shoulders, including:

• Crepey, thin skin with reduced elasticity
• Fine lines and wrinkles, often radiating from clavicle and chest folds
• Mild sagging or skin laxity
• Textural irregularities, including roughness or dryness

These changes are often exacerbated by UV exposure, repeated movements, and posture, and can sometimes extend to the shoulders or upper back.

Wrinkly chest is driven by a combination of intrinsic ageing, sun exposure, genetics, and lifestyle factors:

1. Ageing & Collagen Loss

• Reduction in collagen, elastin, and dermal thickness causes sagging, fine lines, and reduced skin resilience.
• Subtle volume loss in the upper chest can exaggerate wrinkling.

2. Sun Exposure (Photoageing)

• The décolletage is frequently exposed to UV radiation, accelerating collagen degradation.
• Results include pigmentation, leathery texture, and deeper creases.

3. Genetics

• Genetic factors affect skin thickness, collagen density, and propensity for wrinkling.

4. Lifestyle Factors

• Smoking, poor skincare, and repetitive friction (bra straps, clothing) can worsen texture.
• Poor posture may accentuate skin folds, especially across the clavicles.

5. Muscle & Posture-Related Factors

• Tight or overactive pectoral muscles can influence upper chest and shoulder positioning, subtly contributing to skin sagging or folds.

1. Dermal Fillers

Dermal fillers effectively restore lost structural volume in the upper chest and décolletage.

Mechanism

Hyaluronic acid-based fillers are injected beneath the skin to replace subcutaneous volume, softening creases and reducing the visibility of bony landmarks.

Benefits

• Softens fine lines across the décolletage
• Restores contour to hollowed or deflated areas
• Masks prominent bony structures
• Provides foundational support to reduce mild sagging

Procedure Details

• Local anaesthetic with cannula or needle technique
• 30–45 minutes per session
• Minimal downtime (1–3 days of mild swelling/bruising)

Ideal Candidates

• Fine creases, shallow hollows, or early volume loss
• Best combined with skin-quality treatments (see section below)

Duration: 12–18 months, depending on product and metabolism.

2. Skin Boosters, Profhilo® Body & Polynucleotides

This category improves hydration, elasticity, dermal structure, and microtexture—essential for crepey or sun-damaged chest skin.

Mechanism

• Skin Boosters & Profhilo Body®: High-concentration hyaluronic acid spreads through tissue, enhancing hydration and stimulating collagen and elastin.
• Polynucleotides: Improve skin thickness, repair, and regenerative capacity rather than hydration.

Benefits

• Smooth crepey, wrinkled texture
• Improve elasticity and firmness
• Enhance tone and hydration
• Strengthen skin to support dermal fillers

Procedure Details

• Multiple small injections across the décolletage
• Minimal discomfort; mild redness/swelling for 24–48 hours
• Best delivered in 2–3 sessions, 1 month apart

Ideal Candidates

• Thin, crepey, dehydrated skin
• Early to moderate photoageing
• Excellent combination with fillers or Endolift

Duration: 6–12 months; annual maintenance recommended.

3. Endolift®

Endolift® is a minimally invasive laser treatment that provides skin tightening and collagen stimulation for the chest.

Mechanism

A fine laser fibre is inserted beneath the skin to remodel collagen and elastin, tighten lax tissue, and, if needed, subtly contour small pockets of subcutaneous fat.

Benefits

• Tightens mildly lax or crepey skin
• Improves overall chest contour
• Enhances the effect of volume-based treatments
• Gradual improvement for a natural outcome

Procedure Details

• Performed under local anaesthetic
• Mild swelling/redness for 2–3 days
• Results develop over 4–6 weeks as collagen remodels

Ideal Candidates

• Mild to moderate skin laxity
• Thin, wrinkly chest skin
• Particularly effective when combined with fillers and skin-quality injectables

4. Fat Grafting (Surgical Option)

Fat grafting is a surgical volume-restoration procedure for patients with significant hollows or chest deflation.

Mechanism

Fat is harvested from another body area, purified, and re-injected into the chest to restore natural volume and contour.

Benefits

• Long-lasting, natural-looking volume
• Ideal for severe volume loss or post-weight-loss deflation
• Supports the skin and reduces visible folds

Procedure Details

• Performed under local anaesthetic or sedation
• Swelling and bruising for 1–2 weeks
• Final results visible at 4–6 months

Ideal Candidates

• Significant hollowing or deep depressions
• Those wanting a long-lasting, surgical solution

5. Combination Strategy

The best outcomes often come from layering treatments, addressing both the skin and deeper structures:

• Volume: Dermal fillers or surgical fat grafting
• Skin quality: Profhilo Body, skin boosters, polynucleotides
• Structural tightening: Endolift®

This approach restores contour, improves elasticity, reduces creping, and enhances long-term rejuvenation.

Book a consultation if you notice:

• Increasing crepiness or fine lines in the chest
• Sagging or laxity not improved with creams
• Pigmentation or texture changes from sun exposure
• Desire for safe, long-lasting rejuvenation

A specialist can assess volume loss, skin quality, collagen integrity, and muscle tension to create a tailored plan combining fillers, Profhilo Body, Endolift®, skin boosters and fat grafting.

• Wrinkly chest arises from ageing, sun damage, genetics, posture, and hormonal changes.
• Prevention focuses on sun protection, skin hydration, collagen support, and posture.
• Effective treatments include fillers, Profhilo Body, Endolift®, skin boosters, and fat grafting.
• Combination therapy addresses both structure and skin quality, for natural results.

Wrinkly chest skin is common and treatable. By combining volume restoration and skin quality improvement, modern treatments restore a smooth, firm, and youthful décolletage.

At Dr Hass Clinic, we provide a holistic, structural, and superficial approach, combining dermal fillers, Profhilo Body, Endolift®, skin boosters and fat grafting to achieve natural, long-lasting results.