Dermal Fillers (Décolletage)
Key Takeaways
The décolletage, which includes the lower neck and upper chest, has thin, low-fat skin that is prone to dryness, wrinkles, and sun damage, so signs of aging often appear early in this area. This delicate structure makes careful treatment planning especially important.
Dermal fillers such as Restylane for superficial lines and Radiesse for deeper volume loss can soften wrinkles, improve texture, and subtly contour the décolletage when used by an experienced injector. Hyper-dilute Radiesse can also support overall skin quality.
Décolletage fillers are an off-label treatment with specific risks, including potential impact on breast imaging, so patients benefit from detailed consultations, clear education, and realistic expectations.
Recovery is usually brief, with mild swelling or bruising for a few days and results that can last from many months up to two years, depending on the filler type, lifestyle, and treatment plan.
Mirror Plastic Surgery Med Spa offers personalized décolletage assessments and a safety-first approach with aesthetic injector Stephanie DeSimone; book a consultation to discuss whether this treatment fits your goals.
Personalized Décolletage Care at Mirror Plastic Surgery
Mirror Plastic Surgery follows a concierge-style model that centers on time, education, and safety. Consultations often last up to an hour, which allows for a full review of your health history, anatomy, and aesthetic goals before any treatment is planned.
The practice uses a clear hierarchy for decision-making: safety first, function second, and aesthetics third. Every recommendation for décolletage fillers reflects this order of priorities, with an emphasis on natural, proportionate results and transparent discussion of benefits and limitations. Book a consultation to experience this detailed approach.
Your Injector: Stephanie DeSimone, PA-C
Stephanie DeSimone is the aesthetic injector at Mirror Plastic Surgery and has a strong background in both surgical assisting and anatomy. Her training in Mathematics supports a precise, analytical style that she applies to filler placement and dosage planning.
Stephanie focuses on a “less is more” philosophy. She designs décolletage treatments that enhance skin quality and contour while avoiding an overfilled look, and she explains each step so patients know what to expect.
How Décolletage Skin Ages
The décolletage has thin skin, fewer oil glands, and minimal subcutaneous fat, supported by pectoral muscles and ligaments, with the platysma muscle extending into this area. These features, combined with frequent sun exposure, contribute to early signs of aging.
Typical changes include fine lines, etched horizontal wrinkles, crepey texture, and sun-induced hyperpigmentation. The skin can also appear deflated as collagen and elastin decline over time.
Who Benefits Most from Décolletage Fillers
Ideal candidates for décolletage fillers usually share several traits:
Visible fine lines, wrinkles, or crepey texture on the upper chest
Mild to moderate volume loss or a “deflated” appearance
Interest in non-surgical options rather than surgery
Willingness to follow aftercare and practice strict sun protection
Understanding that décolletage filler use is currently off-label and requires careful monitoring
Patients also benefit from realistic expectations about what fillers can and cannot achieve, especially in areas with significant sun damage or very lax skin.
What To Expect During Décolletage Filler Treatment
Consultation and Product Selection
Your treatment begins with a full assessment of skin thickness, elasticity, and pattern of lines, along with breast and chest anatomy. This helps determine where filler can safely add support and where other modalities might be better.
Restylane can be suitable for more superficial fine lines, while Radiesse can address deeper lines and volume loss. Hyper-dilute Radiesse mixed with saline is sometimes used to support overall skin quality. Filler choice and dilution depend on your goals and the condition of your skin.
Injection Technique and Comfort
Stephanie uses injection patterns that respect the anatomy and movement of the décolletage. Treatment may involve a series of small, precise injections to smooth lines or a grid-like pattern to support broader skin improvement.
Topical numbing cream and fillers that contain lidocaine help limit discomfort. Most patients describe pressure or brief stinging rather than significant pain. The appointment typically includes time for post-treatment instructions and monitoring before you leave.
Expected Results and Longevity
Patients generally notice smoother texture and softer lines soon after treatment. Hyaluronic acid fillers can restore volume, smooth horizontal lines, and improve hydration in the décolletage. Biostimulatory fillers like Radiesse also encourage collagen production over time.
Final results become clearer after one to two weeks, once swelling resolves. Longevity depends on the product, dose, and your metabolism, but results can often last from many months to more than a year.
Preparing for Your Décolletage Filler Appointment
How Mirror Plastic Surgery Structures Your Visit
The practice uses a top-to-bottom consultation model. This format gives time to discuss your full aesthetic picture, not just one area. For décolletage care, this might include conversation about facial treatments, breast surgery history, or other skin therapies so that your plan feels cohesive.
Steps To Take Before Treatment
Several simple steps can reduce the risk of bruising and swelling:
Stop blood-thinning medications such as aspirin or ibuprofen, and supplements like fish oil, Vitamin E, and Ginkgo Biloba for at least one week when cleared by your prescribing clinician.
Avoid alcohol for 24 to 48 hours before your visit.
Arrive with clean skin and no active rashes, infections, or open lesions on the chest or neck.
Stay well hydrated in the days leading up to treatment.
Scheduling and Planning Around Downtime
After your initial consultation, treatment is usually scheduled at a convenient time when you can avoid strenuous exercise and major social events for a couple of days. Book a consultation to discuss timing around your work, travel, and imaging appointments if relevant.
Recovery, Aftercare, and Activity Guidelines
Immediate Aftercare
Post-treatment instructions help protect your results:
Apply a cool compress intermittently for the first 24 to 48 hours to reduce swelling.
Keep the area clean and avoid tight clothing or pressure on the chest.
Use a broad-spectrum sunscreen daily and limit sun exposure to support healing.
Avoid hot baths, saunas, steam rooms, and tanning beds for 48 hours.
Healing Timeline and Common Effects
Most patients experience mild swelling, tenderness, or bruising that improves within a few days. Diluted hyaluronic acid is generally well tolerated when low volumes are used, with mostly temporary effects such as bruising and edema.
Initial changes are visible right away, but the décolletage usually looks more settled and natural after about one to two weeks.
Short-Term Restrictions
For the first 24 to 48 hours, patients should:
Avoid strenuous workouts or activities that cause heavy sweating.
Skip direct chest pressure, such as certain yoga poses or massages.
Sleep with the upper body slightly elevated to reduce swelling.
Reintroduce active skincare slowly and avoid harsh acids or retinoids on the area for several days.
Safety, Misconceptions, and Specialist Care
Key Misconceptions About Décolletage Fillers
Not all fillers behave the same way in the décolletage. Product choice must reflect the anatomy of the area, desired results, and filler properties such as G′ and cohesivity. A filler that works well in the lips or cheeks may not be suitable for the chest.
Another misconception is that the sun alone causes all visible aging. The area’s thin skin, minimal fat, and constant motion from everyday activities also contribute to lines and laxity.
Why Specialist Evaluation Matters
Dermal fillers do not currently have FDA approval for use in the décolletage. Risks include possible interference with breast cancer imaging and lymphatic drainage, so careful planning is essential.
At Mirror Plastic Surgery, Stephanie reviews your medical history, breast imaging schedule, and overall risk tolerance before recommending treatment. This approach supports informed decisions grounded in anatomy and current safety data.
Cost Considerations for Décolletage Fillers
Pricing for décolletage fillers varies with the type of product, amount needed, and complexity of the treatment plan. Some patients need subtle line softening, while others may benefit from staged sessions that focus on both volume and skin quality.
During your consultation, you receive an individualized quote and a clear explanation of what each step includes, so you can weigh benefits, maintenance needs, and budget.
Frequently Asked Questions About Décolletage Fillers
How long do décolletage filler results last?
Result duration depends on the filler type, dose, treatment depth, and your metabolism. Many hyaluronic acid fillers last 6 to 18 months in this area. Biostimulatory products like Radiesse can support results for 18 to 24 months or more, because of ongoing collagen stimulation.
How uncomfortable is the procedure?
Patients usually report mild to moderate discomfort that feels like pressure, pinching, or brief burning. Numbing cream and lidocaine in many fillers help reduce pain, and the décolletage is often less sensitive than certain facial regions.
What are the main risks of décolletage fillers?
Common short-term effects include bruising, swelling, tenderness, and temporary lumps or asymmetry as the product settles. More specific risks include possible impact on breast cancer screening and lymphatic drainage in an area that already has limited soft-tissue coverage. Stephanie discusses these issues in detail so you can decide whether the benefits align with your comfort level.
Can décolletage fillers be combined with other treatments?
Fillers often pair well with energy-based tightening, microneedling, or topical regimens to address pigment, texture, and firmness. Mirror Plastic Surgery can design a staged plan that sequences these treatments for safety and consistent progress.
Who is not a good candidate?
Patients who are pregnant or breastfeeding, have active infections on the chest, or have certain autoimmune or bleeding conditions may need to avoid or postpone treatment. Individuals with unrealistic expectations or who cannot commit to sun protection and follow-up care may also be better served by alternative options.
Plan Your Décolletage Consultation at Mirror Plastic Surgery
Patients who want a careful, education-focused approach to décolletage rejuvenation can explore options with Stephanie DeSimone at Mirror Plastic Surgery Med Spa. The consultation process emphasizes safety, anatomy, and realistic, natural-looking outcomes. Book a consultation to discuss your concerns and build a tailored treatment plan.
Contact Mirror Plastic Surgery
Phone: 727-361-6515
Email: hello@mirrorplasticsurgery.com
Address: 780 4th Ave S, St. Petersburg, FL 33701
Instagram: @mirrorplasticsurgery, @perfectlyplastics
*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.