title: Three-Dimensional Rejuvenation of the Décolletage.
abstract: BACKGROUND
  Photodamaged skin of the chest is characterized by skin laxity, lines/wrinkles, hyperpigmentation, erythema, tactile roughness, atrophy, and telangiectasias.
  
  
  METHODS
  A MEDLINE search was performed on combination treatments in chest rejuvenation, and the results are summarized. Practical applications for these combinations of procedures are discussed.
  
  
  RESULTS
  Reports of injectable poly-L-lactic acid (PLLA), hyaluronic acid (HA), and chemical peels, along with lasers and light therapies such as intense pulsed light (IPL), vascular lasers, photodynamic therapy (PDT), nonablative fractionated lasers (NAFLs), ablative fractionated lasers (AFLs), and microfocused ultrasound (MFU) have been reported for chest rejuvenation. Few articles were discovered pertaining to combination therapy. The authors review their approaches to combination therapy.
  
  
  CONCLUSIONS
  Multiple options exist alone or in combination for minimally invasive rejuvenation of the skin of the chest including PLLA, HA, chemical peels, IPL, vascular lasers, PDT, NAFL, AFL, and MFU. Little was found in the literature pertaining to the safety and efficacy of combining such procedures and devices. The authors' experience in clinical practice is that combination, same day chest rejuvenation techniques can be performed safely. A combination approach often produces the most optimal outcome for the patient seeking chest rejuvenation.
authors.affiliation: *Suzanne Bruce and Associates, Houston and Katy, Texas; †Laser & Skin Surgery Center of Northern California, Sacramento, California.
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Peterson
authors.forename: Suzanne L
authors.initials: SL
authors.lastname: Kilmer
mesh_terms: D003131:Combined Modality Therapy; D000067548:Dermal Fillers / Q000627:therapeutic use; D004890:Erythema / Q000628:therapy; D006801:Humans; D017495:Hyperpigmentation / Q000628:therapy*; D062325:Intense Pulsed Light Therapy; D055623:Keratosis, Actinic / Q000628:therapy; D053685:Laser Therapy; D009333:Neck; D010778:Photochemotherapy; D012060:Rejuvenation; D012782:Shoulder; D015595:Skin Aging; D013684:Telangiectasis / Q000628:therapy; D013909:Thorax
chemical_list: D000067548:Dermal Fillers