Our expert says:
Hi Fiona, thank you for the question and I am glad you are enjoying the forum.
The décolletage is a difficult area to treat and typically will respond best to combination treatments.
The use of sun avoidance and using SPF that contains zinc oxide and/or titanium dioxide is your starting point. I would not use any rough exfoliation or scrubs/brushes in this area as it will disturb the acid mantle of the skin and will cause inflammatory damage.
I suggest the following topical regime:
Continue using the Elizabeth Arden serum at night
Use a glycolic acid containing facial wash (face, neck, and décolletage) – NeoStrata Clarifying Facial Wash (about R250.00)
Add a high strength alpha hydroxy acid twice daily to your moisturizing routine – NeoStrata Ultra Smoothing Body Lotion and once the skin can handle this one can move to the High Potency Lotion (about R300.00)
Monthly glycolic acid peels for 6 months and depending on the effect one can reduce them to every 2 to 3 months (typically one should be paying between R350.00 to R450.00/peel)
Furthermore I would consider adding the following to the above regime:
Skin rejuvenation: IPL + Bi-Polar Radiofrequency (Syneron eLight or eMax), laser (Fraxel, Palomar Starlux), or IPL (Palomar, Ellipse) and 3 to 5 sessions may be necessary (typically R950.00 to R1,500.00 per session)
Skin Tightening: Syneron, Thermage, or Titan.
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