There is a specific moment of betrayal that comes with a v-neck. The face in the mirror looks fine — moisturized, maintained, treated with whatever the current routine involves. Then the gaze drops six inches and the chest tells a different story entirely: fine vertical creases between the collarbones, crepey texture that catches the light, a mottled scatter of sun damage from decades of car windows and pool afternoons. The neck is running the same con. Skin there is thinner than facial skin, carries fewer oil glands, and has spent years being ignored by every product that stopped at the jawline.
The treatment landscape for that area changed in April. On April 8, 2026, Radiesse — calcium hydroxylapatite microspheres in a gel carrier — received FDA approval for treating wrinkles in the décolleté in patients 22 and older, injected at a 1:2 dilution with sterile saline to suit thinner tissue. That approval made it the first and only regenerative biostimulator approved in the United States for both the face and the body, and it added the décolleté to an existing list that already covered facial wrinkles and folds, hand volume loss, and jawline contour. The clinical data behind it is worth knowing: in the décolleté study, 71.2 percent of participants showed at least a one-grade improvement by week 24, with improvement maintained through week 60. That timeline is the whole character of this treatment — the product does not fill a chest wrinkle so much as prompt fibroblasts to rebuild collagen and elastin underneath it over months. Here is where the Triad stands on it.
Rejuvenation MD Aesthetics & Vein Center: hyperdilute Radiesse as a named service line
On New Garden Road in northwest Greensboro, Umbreen Chaudhary, MD, runs a practice that offers hyperdilute Radiesse for skin tightening as its own service. Both neck and décolletage appear on its treatable-areas list. The practice explains the mechanism this way: the gel carrier absorbs while the CaHA microspheres persist, and the diluted product forms what they describe as a gel mesh that tightens initially and then works as a collagen stimulator, leaving your own collagen behind for 18 to 24 months. Dr. Chaudhary has more than twenty years in aesthetic medicine. For hands, the practice’s rejuvenation treatment uses Restylane Lyft, a hyaluronic acid filler, so ask about Radiesse for hands at the consult. In-house tightening technology is deep — Thermage radiofrequency, CO2 laser resurfacing, microneedling, chemical peels, HydraFacial MD and thread lifts — which matters for chest work, where combining modalities usually beats any single one. There is a second office in Asheboro and PatientFi financing; ask about pricing at the consult.
Radiant Medical Aesthetics: a menu organized by concern, with “Neck & Chest Aging” as its own category
Radiant, on Old Battleground Road, organizes its menu around nineteen named patient concerns, and “Neck & Chest Aging” is one of them, listing hyperdilute Radiesse as a collagen-stimulator treatment for the area. The practice describes the goal as restoring firmness and smoothing crepey texture in delicate neck and décolletage skin. Their separate fillers page names Radiesse as a calcium-based filler that stimulates collagen for longer-lasting support, and Sculptra runs as its own service, so both biostimulator classes are available. AJ Marcellino, a board-certified facial surgeon with more than a decade of injectable experience, leads the practice. The broader menu includes laser resurfacing, photofacial, microneedling, chemical peels, tattoo removal, IV therapy and weight loss, plus a hair restoration division. Other listed concerns worth noting if the chest is not your only complaint: loose or sagging skin, pigmentation and sun damage, and facial volume loss.
Aesthetic Couture: a practice built around treating skin of color safely
Skin of color matters for chest treatment, because the décolleté is a high-risk zone for post-inflammatory hyperpigmentation. Jacklyn Halpin, DNP, founded her North Elm Street practice specifically to close a gap in care for patients with skin of color. She is a co-founder of Skin of Color Aesthetics LLC, a clinician education platform, and a published co-author on laser therapy and chemical peel considerations for darker skin tones. Her path ran CNA in 2010, then RN and BSN, MSN, and a Doctor of Nursing Practice in 2022. The practice’s dedicated Greensboro Radiesse page describes it as a biostimulatory agent delivering immediate volume plus gradual collagen renewal, with results quoted at 12 to 18 months; named treatment areas are cheeks, chin, jawline and hands, so ask directly about the décolleté. Four licensed estheticians round out the team: Chanida, licensed since 2018 and also a permanent makeup and lash artist, Kelsey Casper, Trè Patterson, who focuses on acne and hyperpigmentation, and Miah, who handles facials, HydraFacials, dermaplaning, microneedling and peels. HydraFacials run $225 to $375, and CareCredit is accepted.
Coley Cosmetic & Hand Surgery Center: a cosmetic surgeon who is also a hand surgeon
H. Christopher Coley, MD, is board-certified in cosmetic surgery and also practices hand surgery — an unusual pairing that is directly relevant here, since the dorsum of the hand is Radiesse’s other FDA-cleared body indication and the hands almost always need the same conversation as the chest. Both are thin-skinned, sun-exposed, and structurally different from the face. The North Elm Street practice, essentially across the road from Aesthetic Couture, runs a dedicated Radiesse page and also lists it on the med spa injectables menu, claiming up to 80 percent improvement immediately after treatment and duration of up to two years or more. Sculptra is offered alongside it, plus RF microneedling, laser skin resurfacing, dermaplaning, CoolSculpting, CoolTone and Kybella. There is an on-site surgery center, a VIP injectable program and Allē rewards, and CareCredit financing; the practice is explicit that insurance does not cover cosmetic injections. The named Radiesse areas are the wrinkles and folds around the mouth and nose plus scars and superficial cavities, so ask about neck and chest work at the consult.
Renaissance Center for Plastic Surgery & Wellness: the practice that can tell you when to stop injecting
Neck skin has a point past which no biostimulator helps, and knowing where that line falls is worth a consultation with someone who can offer both sides of it. Mary Ann Contogiannis, MD, is a board-certified plastic surgeon whose State Street practice lists Radiesse on its med spa injectables menu alongside Botox, Juvéderm, Restylane, Dysport, Sculptra and fat transfer — and separately offers a surgical neck lift. That combination means a patient with genuine laxity gets told so. Fat transfer, which requires a surgeon, is on the menu too. The practice also runs a liquid facelift service and a full surgical menu spanning breast, body, facial and male plastic surgery, plus skin rejuvenation, and sits in the walkable State Street Historic District rather than a medical park. Confirm Radiesse availability when you call.
Before You Book
Three things to bring into the room. First, the April 2026 décolleté approval is recent, so ask what dilution they use and how many sessions they recommend; the standard protocol for hyperdilute work is a series of at least three, spaced four to six weeks apart. Second, expect the results conversation to be about months, not days. Volume is immediate, but fibroblast activation takes roughly four to eight weeks and peak collagen production sits in the three-to-six-month range — which makes this a poor choice for anyone who wants a visible change before an event next month. Third, the chest is a two-problem area. A biostimulator improves texture, thickness and crepiness; it does nothing for brown spots, which need light-based treatment. If your décolleté is more mottled than creased, a photofacial may get you further than any injectable, and a good consult will say so. Bruising, swelling and temporary firm spots are common and settle in a few days, and unlike hyaluronic acid fillers, calcium hydroxylapatite cannot be dissolved on demand — so choose the injector, not the promotion.
