Hands, Neck & Décolletage
Often overlooked but visibly age-revealing, the hands, neck and décolletage need a different toolkit to the face. Dr Garara uses skin-quality regenerative treatments, biostimulators and pigmentation-targeted lasers to restore smoothness, hydration and even tone.
Hands, Neck and Décolletage concerns we treat
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Neck Bands
Neck bands — clinically called platysmal bands — are the vertical cords that can become visible down the front of the neck, running from the jawline to the collarbone. They are produced by the platysma muscle, a broad, thin sheet of muscle that sits just beneath the skin of the neck. With age, postural habits, and natural muscle changes, the platysma’s vertical edges can begin to stand proud of the skin, creating the cords often called “turkey neck.” Carefully placed micro-doses of muscle-relaxing injections — sometimes combined with skin-quality treatments — can soften the bands and the way they pull on the jawline.
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Neck Wrinkles
Horizontal neck wrinkles — sometimes called “necklace lines” or, when they appear in younger people from screen posture, “tech neck” lines — are the deep horizontal creases that run across the front of the neck. They form when the thin skin of the neck folds repeatedly during everyday movement and, over time, loses the elasticity to spring back. A combination of skin-quality treatments, very small amounts of soft hyaluronic acid filler placed using a micro-droplet technique, and radiofrequency microneedling can soften these lines — and sensible posture habits help prevent them developing further.
Learn more Ageing Hands
The backs of the hands age earlier and more visibly than the face for many people. The skin is thin, the subcutaneous fat layer is shallow, and the area is heavily exposed to UV light yet rarely sun-protected with the same care as the face. Effective treatment usually combines volume restoration (HA filler, biostimulators, or Seffiller in selected cases), regenerative skin treatments to thicken the dermis, pigment clearance for age spots, and consistent daily SPF.
Learn moreCrepey Skin
Crepey skin is thin, fragile, finely crinkled skin most often seen on the neck, décolletage, and the backs of the hands. The areas affected share certain anatomical features — relatively thin dermis and fewer sebaceous glands than the face — that make collagen and elastin loss more visible. Treatment usually combines polynucleotides and multi-ingredient skinboosters to thicken the dermis, biostimulators for longer-term firming, and radiofrequency microneedling for the skin envelope, alongside consistent daily SPF.
Learn morePigmented Chest
The décolletage — the central V of the chest — receives years of UV exposure with much less daily protection than the face. Over time this produces a characteristic pattern of brown pigmentation, redness from broken capillaries, and skin thinning, often combined together. The most common combined pattern is Poikiloderma of Civatte. Effective treatment combines pigment-clearing laser, vascular-clearing laser, and regenerative skin treatments, with conservative settings because the chest scars more readily than the face.
Learn moreSun Damage
Sun damage on the chest, neck, and hands is a common, gradually accumulating result of years of UV exposure to areas that are usually less protected than the face. It can appear as discrete age spots, diffuse mottling, redness from broken capillaries, and skin thinning. Poikiloderma of Civatte is a specific recognised pattern of sun damage often seen on the sides of the neck and the V of the chest. Treatment is layered: pigment clearance, vascular clearance, and regenerative skin treatments, alongside consistent daily SPF — without which any treatment is short-lived.
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What you can expect at every consultation
Medical practitioner
Every treatment is delivered by a qualified doctor with extensive anatomical training.
Anatomy-led plans
Personalised protocols built around your unique structure and goals — never one-size-fits-all.
Natural-looking results
A rested, refreshed version of you — never frozen, never over-treated.
Begin with a proper assessment.
Tell us a little about what you're looking for and we'll match you with the right consultation — at the clinic or virtually.