What Causes Skin Changes in the Neck & Décolletage?
The Neck and Décolletage area is subjected to numerous factors that influence the condition and appearance of the skin, including:
- vascular changes, such as visible capillaries
- pigmentation changes
- the natural ageing process
- prolonged UV exposure and environmental damage
- gradual reduction in collagen and skin elasticity
- Lifestyle factors such as smoking or repeated sunbathing
These cumulative changes to the delicate Neck and Décolletage area can lead to pigmentation irregularities, textural changes, uneven skin tone and redness. Often, particularly after prolonged sun exposure, a condition called Poikiloderma of Civatte develops, presenting as a combination of redness, pigmentation and visible blood vessels along the sides of the neck and upper chest.
What Causes Skin Changes in the Neck & Décolletage?
The Neck and Décolletage area is subjected to numerous factors that influence the condition and appearance of the skin, including:
- vascular changes, such as visible capillaries
- pigmentation changes
- the natural ageing process
- prolonged UV exposure and environmental damage
- gradual reduction in collagen and skin elasticity
- Lifestyle factors such as smoking or repeated sunbathing
These cumulative changes to the delicate Neck and Décolletage area can lead to pigmentation irregularities, textural changes, uneven skin tone and redness. Often, particularly after prolonged sun exposure, a condition called Poikiloderma of Civatte develops, presenting as a combination of redness, pigmentation and visible blood vessels along the sides of the neck and upper chest.
Skin rejuvenation treatments may include:
- Laser Skin Rejuvenation
- Laser treatment for vascular redness and visible blood vessels
- Skin Needling
- Skin Booster treatments

Laser Skin Rejuvenation
Laser technology can be used to address numerous Neck And Décolletage concerns, including pigmentation irregularities, changes in skin texture and uneven skin tone.
During treatment, the Laser delivers controlled energy into deeper layers of the skin where pigment and collagen structures are located. This allows the Laser to target specific skin components while minimising disturbance to surrounding tissue.
Pigment particles may slowly break down and be cleared by the body’s immune system. At the same time, the Laser treatment may stimulate collagen production through the body’s natural repair response.
As skin renewal occurs progressively, a series of treatments may be recommended, depending on the condition of the skin and the agreed treatment plan.
Laser Skin Rejuvenation
Laser technology can be used to address numerous Neck And Décolletage concerns, including pigmentation irregularities, changes in skin texture and uneven skin tone.
During treatment, the Laser delivers controlled energy into deeper layers of the skin where pigment and collagen structures are located. This allows the Laser to target specific skin components while minimising disturbance to surrounding tissue.
Pigment particles may slowly break down and be cleared by the body’s immune system. At the same time, the Laser treatment may stimulate collagen production through the body’s natural repair response.
As skin renewal occurs progressively, a series of treatments may be recommended, depending on the condition of the skin and the agreed treatment plan.
Laser for Redness & Vascular Lesions
The Neck And Décolletage can appear red when small blood vessels within the skin become enlarged or more visible. These vascular changes can appear as fine capillaries, red spots, or diffuse areas of redness. Contributing to this appearance can be conditions such as cherry angiomas, telangiectasia and the vascular component of Poikiloderma of Civatte.
Treatment may involve targeting these visible vessels with a Laser. A Laser device delivers controlled energy to the vessel, causing the vessel walls to coagulate and become less visible over time.
At Bella Plastic Surgery, our Laser device features a fine treatment tip that can target individual vessels while minimising exposure to surrounding tissue.
The number of treatments required depends on the number of vessels present in the skin’s response to treatment.
Skin Needling
When there are fine lines and textural changes in the neck and chest area, Skin Needling may be recommended. During treatment, controlled microinjuries are created in the skin. This activates the body’s healing response, stimulating the production of collagen and other structural components of the skin.
Skin Needling is often recommended as a course of treatments, subject to suitability and the prescribed treatment plan.
Skin Boosters
Skin Boosters may also be included in the treatment plan, depending on the concerns being addressed and the skin’s condition.
Some skin boosters contain polynucleotides, which are DNA fragments derived from salmon. They help support the skin while it is repairing. Skin boosters are sometimes considered when the skin shows signs of dehydration, thinning or fine lines.
Comfort Measures
Levels of discomfort during treatment vary from person to person and depend on the procedure and the treatment areas involved.
To support comfort, where appropriate, we may apply a topical numbing cream to the skin before treatment, allowing time to take effect.
Downtime After Treatment
Downtime varies depending on the procedure performed and whether multiple treatments were performed simultaneously. Some treatments require only minimal downtime, while others may require several days or longer due to redness, swelling or mild bruising in the treated area.
Treatment Cost
The cost of your Neck and Décolletage Rejuvenation will depend on the type of treatment performed, the size of the treated area and the number of treatments required. All treatment plans are tailored to the individual. Pricing will be discussed during your initial consultation after your cosmetic nurse has performed an assessment and recommended the most appropriate treatment plan.