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Regardless, taking good care of your skin now is a crucial first step to maintaining healthy skin. What's an easy tip to prevent wrinkles on your chest and neck? "Stay away from nicotine and use UV protection—that's the be-all and end-all," says Prager, noting that sun damage ultimately accounts for about 90 percent of skin aging. "UV radiation is actually the biggest collagen killer." Prevention is the best cure—but what if your skin is already showing signs of damage? According to Prager, seeing your trusted skin care professional is a great next step. He recommends rebuilding collagen and firming your skin with a combination of injectables and technology: "Radiesse dermal fillers stimulate the body's own collagen production, while Ultherapy micro-ultrasound treatments stimulate the formation of new collagen," he says, noting that the two treatments complement each other well. “Patients with aging or particularly thin skin can benefit from volume-building hyaluronic acid treatments, as is the case with the face.”

Other methods of building collagen include microneedling with radiofrequency at the tip. Prager also suggests looking into photodynamic therapy (PDT), a gentle but effective treatment for sun damage. With so many options to choose from, it can be hard to know which one might be best for you. “There are really no limitations,” Prager assures. “Skin treatments with active ingredients applied to the skin work from the outside, while treatments like Ultherapy work from the inside. Since the body’s hyaluronic acid decreases by a percent every year after puberty, studies have shown that three treatments with a skin booster will result in thicker, more elastic skin that looks 10 years younger,” he explains.

With that in mind, it's important to follow the treatment sequence recommended by your doctor. “Ultherapy does not harm previously injected fillers,” Prager explains. “On the contrary, microneedling is much hotter and can damage fillers. The older the skin, the more it makes sense to combine Ultherapy and fillers.” There's a reason ultrasound treatments like Ultherapy are especially well-suited for the neck and décolleté, according to Prager: “They provide real-time visualization, allowing for precise, individualized treatment of different areas,” he says, noting that this allows doctors to virtually see under the skin.

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