Skin Quality & Tone
Neck and décolleté, treated with the same precision as the face.
The best treatment for neck wrinkles in Raleigh recognizes something most patients already know: the neck and chest age faster than the face, and respond more slowly. Thinner skin, more sun exposure, less moisturizer, and more phone-looking conspire to create horizontal neck lines, crepey texture, and sun-damaged décolleté by the mid-30s. We treat neck and chest with the same clinical precision we bring to the face, under physician supervision.
- Physician-supervised
- All Fitzpatrick skin types
- Customized protocols
- Bilingual care
What this is
Why neck and chest age differently
Five forces work against the neck and chest. The skin itself is thinner, with fewer oil glands and less dermal thickness than the face, so collagen loss shows up faster. Sun exposure compounds: decades of sunscreen applied only to the face leave the neck and chest unprotected. Tech neck (downward-looking posture) creates dynamic creases that become permanent. Platysmal bands (vertical neck muscles) become more visible with age. And most people’s skincare stops at the jaw.
Treating neck and décolleté effectively requires adjusting what works on the face. The same laser can be too aggressive for thin neck skin. The same filler placement does not work in décolleté. This is where clinical judgment matters.
At La Miel
How we treat neck and décolleté
Skinvive microdroplet injections
A hyaluronic acid microdroplet specifically designed to hydrate and improve skin quality, not add volume. Excellent for subtle crepey texture on the neck and décolleté. Results last six months.
Suited for: Early texture, fine lines, hydration deficit.
Microneedling with PRF
Triggers collagen production, reduces fine lines, improves texture. Safe for all skin tones. Typical protocol: three to four sessions over three to four months.
Suited for: Mild to moderate texture, all skin types.
RF microneedling
For deeper laxity and texture. Adds radiofrequency energy into the dermis to further stimulate collagen.
Suited for: Deeper laxity, significant crepey texture.
Fractional laser
For sun damage, pigment, and deeper texture. We choose the platform based on your Fitzpatrick skin type.
Suited for: Sun damage layered with texture issues.
Chemical peels
For sun-damaged décolleté specifically, gentle peels accelerate turnover and fade pigmentation.
Suited for: Sun damage, pigmentation, surface refresh.
Botox for platysmal bands (Nefertiti lift)
Strategic neurotoxin relaxation of the platysmal muscles lifts the jawline and smooths the neck.
Suited for: Visible platysmal bands, jawline softening.
Ready to start?
A consultation tells us what your skin needs. It takes under an hour.
What to expect
Typical treatment plans by severity
Most successful plans combine two or three modalities over three to six months. We assess at intake and map the sequence honestly.
Mild concerns
Skinvive (two sessions, six months apart), medical-grade neck skincare, daily SPF.
Moderate concerns
Microneedling series (three to four sessions), Skinvive or RF microneedling, neck and chest peel series, medical topicals.
Significant concerns
RF microneedling series, fractional laser (one to three sessions), Skinvive maintenance, comprehensive topical protocol, possibly Botox for platysmal bands.
Common questions
Frequently asked questions
Neck and chest wrinkles respond to a combination of Skinvive microdroplet injections, microneedling with PRF, RF microneedling, fractional lasers, and medical-grade chemical peels, with Botox added for deep horizontal lines or platysmal band prominence. Neck and chest wrinkles respond to a combination of treatments that rebuild collagen, smooth texture, and hydrate the skin. Effective options include Skinvive microdroplet injections, microneedling with PRF, RF microneedling, fractional lasers, and medical-grade chemical peels. For deep horizontal neck lines or platysmal band prominence, Botox can help. Most successful plans combine two or three modalities over three to six months.
Ready to map your plan?
Tell us what you would like to address. We will recommend a sequence that actually fits your skin, your anatomy, and your timeline.
Ready When You Are
Two ways to start: book the specific treatment you came for, or book a consultation and we will build your plan together.
Mon 10 to 8, Wed to Fri 10 to 5, Sat 9 to 2. Closed Tue and Sun.
7718 Six Forks Road, Suite 106, Raleigh, NC 27615