Decolletage mesotherapy delivers nourishing and hydrating blends superficially into the skin of the upper chest, across many points. The decolletage is one of the most sun exposed and least protected areas of the body. Left uncovered through the summer and dropped from the routine altogether in winter, it can show changes early. At his clinic in Nişantaşı, İstanbul, Dr. Levent Ünal plans this area according to what the examination shows.
What decolletage mesotherapy addresses
The picture seen most often here is sun related dullness, uneven tone, dryness and the fine vertical lining that appears between the breasts. That lining is also associated with the habit of sleeping on one's side. The aim of the treatment is to support the area from the layer that needs it and to contribute to moisture balance and the overall look of the skin texture. It is not a treatment for pigmentation; where there are distinct sun spots, those need a separate assessment.
Which areas and situations it covers
- The collarbone line and upper decolletage: sun related dullness.
- The area between the breasts: fine vertical lining.
- The transition towards the shoulders: dryness and a rough looking surface.
- The visible difference left when the face and neck are treated but the decolletage is not.
The decolletage is usually planned together with the face and neck. Handling the three areas as a whole gives a more consistent overall look.
Who it suits
It is considered for people who notice dryness, dullness or fine lining on the decolletage, who have had years of sun exposure and are looking for nourishing support. For those whose lifestyle revolves around the sea and the sun, it can also form part of a preventive approach.
Situations that need closer assessment include pregnancy and breastfeeding, an active skin infection in the area, back and chest acne, a bleeding disorder or the use of blood thinning medication, a known allergy to the blend, previous breast surgery or ongoing oncology follow up, and poorly controlled systemic conditions. Suitability is decided by a medical assessment.
How a session goes
- Examination: sun related changes, the pattern of the lining, skin thickness and the medical history are reviewed.
- Preparation: the area is cleaned and, if needed, a topical anaesthetic cream is applied and left to work.
- Choosing the blend: a nourishing formulation suited to the needs of the area is selected.
- Application: the blend is distributed superficially across many points. Dose and depth are adjusted to the skin thickness.
- Review: the area is cooled, aftercare is explained with sun protection first among it, and the session interval is planned.
Onset and duration of the effect
The effect is gradual and is assessed as the sessions progress. On the decolletage, sun protection is the single biggest factor in holding on to the result; without that habit the appearance is difficult to maintain. Persistence also depends on age, skin type and daily care. Results vary from person to person.
Aftercare and what to watch for
- Protect the area from the sun in the first days and use a high factor sunscreen.
- Postpone sauna, steam rooms, sunbeds and sea swimming for a few days.
- Avoid tight or rubbing strappy clothing on the first day.
- Sleeping on your back can help keep the lining between the breasts from deepening.
Mild redness or small raised points can appear after the treatment and generally settle in a short time.
Points that are often confused
Decolletage mesotherapy is not a procedure aimed at sun spots. Where pigmentation is present, a separate assessment and a different plan are needed. What the treatment concerns itself with is the moisture balance and tissue quality of the skin.
Another misconception is that the decolletage can be treated exactly like the face. Skin thickness and oil gland distribution differ here, so dose and point spacing are planned separately. A marked change should not be expected from one session either; the treatment runs as a course.