The chest between the collarbones and the top of the bust is thin skin over bone that shows sun and sleep early: vertical lines, crepey texture and looseness that stops at the neck. The decolletage is not on the maker's list of Endolift areas and no published series has treated it, and we say so plainly. In our practice it is treated with the fibre passed at shallow depth under the skin of the chest from small entry points, under local anaesthetic, in one session, usually with the neck. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, with the price in writing at a free consultation.
What it does on the chest
Endolift contracts the fibrous layer under the thin skin of the chest and prompts new collagen; the aim is that the crepey texture tightens and the vertical lines soften over the following months. It does not change the colour of sun-damaged skin, which needs a different treatment, and the doctor says so.
What the evidence covers
No series has measured the decolletage, so we quote no figure. The mechanism is the one measured on the neck, where a ten-patient series found the lines nearly a third shallower at three months, and that stands for the mechanism rather than as a promise for the chest. The full guide sets out every series.
The session and after
Local anaesthetic along the path of the fibre, the fibre passed under the skin from small entry points at the sides of the chest and drawn back pass by pass, and in our practice you go home the same day. Swelling, tenderness and some bruising for several days, no sun on the chest for a week and sunscreen daily afterwards. The result develops over three to six months and is photographed at the review in our practice. The downtime page sets out the recovery.
Who it suits
In our practice, an adult with crepey skin and vertical lines on the chest who wants the chest to match a treated neck, with skin that still has elasticity, who wants one session. A 2026 review lists metal implants, active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat. The neck page covers the neck above, and the full guide the rest. The price is in writing at a free consultation, with a price match on any comparable written quote.
Not sure you are suitable? Ask the clinician, it is free

