Many patients decide to combine breast surgery with various treatments to improve the skin in the DECOLLETAGE area. The DECOLLETAGE is the upper chest and lower neck part of the body that often shows the most dramatic premature signs of aging. Factors such as loss of collagen and elasticity leads to lines and wrinkles; development of brown/age spots, broken blood vessels (telanglectasias), rough spots (keratosis) leading to uneven texture and pigmentation; and changes in the underlying muscles that lead to the bands in the neck.