Your face looks fine in a selfie, but your eye goes straight to the neck. Here is how Profhilo at our Marylebone clinic hydrates thin neck and chest skin and softens the rings.
You take a selfie on a bright afternoon and your face looks fine, but your eye goes straight to the neck beneath it. Faint horizontal rings have appeared and the skin above the collarbones looks thinner. An open neckline no longer feels as easy as it once did. Profhilo for the neck and décolletage at Dr Joney De Souza Clinic in Marylebone was made for precisely this.
| Performed by | Course | Downtime | Your plan |
|---|---|---|---|
| Dr Joney De Souza or Dr Mattia Parducci | Profhilo two sessions, four weeks apart | Small bumps flatten by the next morning | Set by the doctor at consultation |
The neck is often the first place skin quality slips, and it is rarely the place people treat first. Most skincare stops at the jaw. The chest spends summers uncovered and winters under wool, so it dries and loses its spring without anyone quite noticing. Profhilo gives this delicate skin a deep drink of hydration and a reason to rebuild.
That rebuilding shows up in measurements. When 26 patients had two Profhilo sessions on the neck, 30 days apart, their average neck laxity grade fell from 3.08 to 2.12 by day 90. The most common verdict at that final visit, from patients and doctors alike, was a firmer neck with better tone and smoother texture.
What matters is what the gel does after it goes in. Profhilo carries one of the highest concentrations of pure hyaluronic acid available, and it spreads gently beneath the surface rather than staying as a lump. As it settles, it stimulates your own collagen and elastin. You are not adding volume to the neck at all, simply teaching thin skin to behave like thicker skin again.
Skin on the front of the neck is thinner than skin on the cheek, and it folds every time you look down. Those folds sit in the same place thousands of times a day, over phones, laptops and books. Gradually the creases stay put. Under overhead light they read as fine rings, and in a photograph taken from slightly below they look deeper than they really are.
The décolletage tells its own story. Years of sun leave the skin there slightly crepey, with a fine crinkled texture that appears when you lean forward. Dryness makes it worse, because dehydrated skin shows every fold. Women who love a wrap dress or a low neckline often notice it first in a changing room mirror, under those unforgiving lights.
Plenty of people put the neck off for years, assuming nothing gentle would touch it. The skin there is too thin for heavy filler and too delicate for aggressive resurfacing, so it simply gets left. That is exactly why a hydrating injectable suits it so well, and why so many people wish they had started sooner.
Profhilo does its best work on this kind of skin. Laxity, dehydration, crepey texture and fine lines driven by dryness are the concerns it was designed for. Sometimes the main concern turns out to be lost volume or deep folds instead. In that case Dr Joney De Souza or Dr Mattia Parducci will point you to the treatment that fits, before anything is booked.
On the face, Profhilo is placed at five points on each side, at what are called bio-aesthetic points. The neck and chest follow the same principle with their own small set of strategic points. A fine needle places a tiny amount of gel just beneath the skin at each one. From there it diffuses outwards, so a few points hydrate a surprisingly wide area.
Straight after the injections you will see small raised beads under the skin, like grains of rice laid in a row. They are the gel waiting to spread. Within a few hours, and certainly by the next day, they have softened and flattened. By then the hyaluronic acid has begun drawing water into the surrounding tissue, and the neck already feels a little more supple.
The whole appointment takes about 45 minutes, including numbing. A topical cream goes on first and stays for around twenty minutes, and the injection phase then lasts fifteen to twenty minutes. Most people describe a series of quick pinches that finish sooner than expected. They are slightly more noticeable over the collarbones, where the skin is thinnest.
Some patients notice better hydration within the first week. The skin on the neck feels softer when you run the back of your hand along it, and the décolletage looks less matt under daylight. That early change is the hyaluronic acid at work. The deeper improvement comes from your own collagen and elastin, which take longer to build.
Firmness and glow continue to develop for two to six weeks after the second session, which is when most people see the fullest result. The rings on the neck soften, and the crinkle across the chest smooths out when you lean forward. Make-up and body lotion glide rather than catch, and that scoop-neck top comes back out of the drawer.
The skin on the neck feels softer when you run the back of your hand along it, and the décolletage looks less matt under daylight.
Results last up to six months, depending on your skin, your lifestyle and how kindly you treat it at home. Daily sunscreen on the chest makes a real difference here, because this is skin that sees a great deal of sun. The NHS advises at least SPF 30 with 4-star UVA protection, reapplied every two hours outdoors. Most people keep the improvement steady with a maintenance session roughly every six months.
The neck also responds to small daily habits. Lifting your phone to eye level instead of tilting your chin down eases the folding that etches those rings in the first place. A light, fragrance-free moisturiser carried down past the jaw each morning keeps the newly hydrated skin comfortable. Together they help the glow you paid for stay with you longer.
The neck survey was small, with patients from Singapore, Malaysia and Indonesia, and it was run with IBSA, the company that makes Profhilo. It reads as an encouraging signal rather than the final word. Physicians graded photographs of each neck on a laxity scale at the start, at day 30 and at day 90, so the change was judged from pictures rather than memory.
A wider picture arrived in 2026. A systematic review of nine studies and 278 participants, again co-written with IBSA, pulled the Profhilo research together. It found improvements, or a trend towards them, in hydration, elasticity, density and laxity on the neck, alongside similar changes on the face and body.
Those measurements match what you feel at home. Hydration is the softer texture under the back of your hand. Elasticity is how fast a gentle pinch of skin settles back, and density is the sense that the skin over the collarbones has more substance than it did in the spring.
The standard course is two sessions about four weeks apart. You can treat the neck alone, the décolletage alone, or both together alongside the face. Your plan and its investment are set out at the consultation, after the doctor has looked at the neck in side light and watched the horizontal lines as you lift your chin.
Many people treat the face and neck on the same day. A fresh face above a tired neck only makes the contrast more obvious. Adding the décolletage completes the picture for anyone who wears open necklines through summer. All three areas are treated in a single visit, and the second session follows four weeks later in the same way.
Profhilo also pairs nicely with other neck treatments. Polynucleotides suit very crepey skin on the neck, Profhilo does not lift loose tissue under the chin or along the jaw. Ultherapy does, working on the deeper supporting layer, and Dr Joney De Souza or Dr Mattia Parducci performs it. Where the vertical neck bands are the issue, anti-wrinkle injections relax them. The doctors build the combination around what they see in front of them.
Your first visit starts with Dr Joney De Souza or Dr Mattia Parducci, and every Profhilo injection is placed by one of them. They watch your neck as you lift and lower your chin and go through your medical history. Then they feel the texture of the skin across your chest. Then they map the points and explain how the two sessions will run.
Come with clean skin, or very little make-up, and pause retinoids or active acids for a few days beforehand if the doctors ask you to. Afterwards, leave the area alone, keep your skincare gentle and apply SPF the next morning. Avoid strenuous exercise for 24 hours, and saunas or steam rooms for 48. Small bumps or mild redness usually settle within hours.
Before the first injection you are asked a few direct questions. Could you be pregnant, are you allergic to anything, and what medication are you on at the moment? Have you had other treatments on the neck or chest, and how recently? Is there a summer event or a holiday you are planning towards?
Two sessions is the average starting point for the neck and chest, and the consultation gives the real answer for your skin. The clinic is in Marylebone, close to Harley Street and a few minutes from Baker Street and Regent’s Park. It is easy to reach from anywhere in central London on a lunch break, and you walk out with nothing more than a few small marks that fade by evening.
If your neck has started to tell a different story from your face, come and see what Profhilo in Marylebone can do for it. With a 4.9 Google rating from more than 270 reviews behind them, the doctors will happily show you how much brighter and smoother that skin can look by summer.
Short clips filmed at Dr Joney De Souza Clinic in Marylebone, so you can see how skin boosters is carried out before you book.
If the skin on your neck and chest has started to look thinner than your face, come and see Dr Joney De Souza or Dr Mattia Parducci. They will map a Profhilo plan for both areas. Ring 020 7043 0748 to book, or say hello on WhatsApp.
Questions about the neck and chest come up in almost every Profhilo appointment, from necklace lines to sun-crinkled skin. Here are the ones people type into Google most before they book.
The neck follows the same core plan as the face, two sessions about four weeks apart. That is also the rhythm used in the 2025 neck survey, where the second treatment fell on day 30 and the result was judged at day 90. After that first pair, one maintenance session around every six months keeps the skin supple and the rings soft.
It softens them noticeably. Horizontal rings on the neck partly reflect dehydration. Restoring water to the skin and prompting new collagen makes them shallower and far less visible in photographs. Very deep, long-standing rings often look better still when Profhilo is combined with polynucleotides. Dr Joney or Dr Mattia will tell you whether that pairing suits you.
Most people find the neck very comfortable. The numbing cream sits for around twenty minutes first, and each injection is a quick pinch. The skin over the collarbones is thin, so you may feel those points slightly more. Nobody needs time off afterwards, and you can wear a soft scarf home if you would like to cover the small marks.
It can make them less marked. Vertical creases between the breasts often come from the skin folding against itself overnight, and thin, dry skin creases more readily. Profhilo improves hydration and springiness, so the lines look shallower in the morning and fade faster through the day. A side-sleeper pillow helps the result last by reducing how often the skin folds.
It improves crepey texture beautifully, because crepiness is largely a hydration and elasticity problem. The concentrated hyaluronic acid draws water into the skin while your collagen and elastin rebuild, so the fine crinkles across the chest flatten when you lean forward. Daily SPF afterwards protects that result, since the décolletage catches a lot of sun through the year.
Yes, and many people do. Treating the face, neck and décolletage in one visit keeps the skin looking consistent from forehead to chest. The appointment runs a little longer than a single area, and each area follows the same rhythm of two sessions four weeks apart. A single visit for all three also means the small injection bumps settle across every area on the same evening.
Some patients feel their neck is softer within the first week, as the hyaluronic acid draws in water. The visible firmness and glow build after that, and most people see the fullest result two to six weeks after their second session. Planning the course a couple of months before a summer event gives the skin time to look its best.
Keep things calm for a day or two. Avoid strenuous exercise for 24 hours and saunas or steam rooms for 48. Leave the area alone, so no massaging or heavy creams, and use gentle skincare with SPF from the next morning. Any small bumps at the injection points usually flatten within a few hours.
They answer different problems. Profhilo improves skin quality, meaning hydration, texture and fine lines. Ultherapy works on the deeper supporting layer to lift loose tissue under the chin and along the neck, and Dr Joney or Dr Mattia performs it. If your neck is both crepey and loose, the two together often give the most complete result.
Absolutely. Men often notice crepey skin or rings on the neck when they look down at a phone or wear an open collar. Profhilo works the same way on male skin, with the same two-session course. The doctors simply take account of beard growth and the way a shirt collar sits when they plan the points.
