Plastic Surgery 101

New treatments for neck and chest wrinkles

Q.I’m one of those people who loved to sunbathe growing up. My neck doesn’t look good but my chest is awful. Is there anything out there that can help me make that area look more rejuvenated?

A: My first response to you is: Are you still going in the sun? If you are, staying out of the sun would be your first step to getting rejuvenated. Wearing a good sunblock along with the use of good moisturizers would also be helpful. Some people get a nice result by using Retinoid compounds on the chest. Care must be taken in this area so as not to cause any scarring.

IPL, or intense pulsed therapy, is another procedure that can help with the wrinkling and the discoloration that is seen in the chest. It usually takes several treatments and is generally very well accepted by patients. Another treatment that the Food and Drug Administration recently approved for the chest area is Ultherapy. This non-invasive procedure is FDA-cleared to lift skin on the neck, on the eyebrow and under the chin as well as to improve lines and wrinkles on the décolletage (chest area). Ultherapy has been used in our office for many years to tighten the neck and improve the skin quality along the face, neck and forehead with excellent results.

The key to achieving excellent results is having good patient selection. Not every patient is a candidate for this treatment and I don’t believe this can qualify as a “noninvasive facelift.” The procedure is done either by physician, an aesthetician or nurse practitioner. Oral medication to sedate the patient may be used or it may be done without any sedation depending on the patient’s ability to tolerate discomfort. The results of the procedure are noted soon after the procedure and maximize at about three months. Since this is a relatively new procedure in the United States, long-term results are difficult to determine at this time.

Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at: