Dr. Busso’s Dermal Disconnect Correct #3: Face and Neck

Dr. Busso’s Dermal Disconnect  Correct #3: Face and Neck

Miami and Beverly Hills-based dermatologist Mariano Busso, MD offers his observations on how to harmonize the skin on the neck with the skin on the face. Photo by Michele Mattei at michelemattei.com. Makeup by Claire Piao.


Dermal Disconnect Correct #3: This is the third of a 3-part series with advice from our expert, top dermatologist Mariano Busso, MD on how the dermal disconnect between face, neck, hands and chest happens, why it happens and how to even things up.


Says Dr. Busso about the dermal disconnect between face and neck, “When the neck looks bad, the face looks bad. Contrasting them, we definitely see a demarcation in color, texture and laxity. The causes are genetics and lack of attention. Both are reverseable and negotiable.”


Tissue Issue

The major differences between the skin on the face and the skin on the neck are:
1. Skin on the neck is thinner.
2. Skin on the neck is slower to heal. So though it can be resurfaced successfully with lasers, other technologies, peels and topicals, this can’t be done as aggressively as it can be on the face. Oftentimes, a pair or series of lighter treatments will give more effective results than a single heavier one.
3. Skin on the neck has less fat underneath to support it, making it prone to more significant buckling and folding with age.


Topical Approaches

Dr. Busso suggests treating the neck and chest as one unit and using a targeted firming cream on both. For his patients he recommends Neo Firm Neck & Décolleté Tightening Cream by Neocutis.

Another cautionary note, “Sometimes we also see discoloration or irritation on the side of the neck caused by fragrance application there,” he says. “It’s not true for everyone but if you’re sensitive, you might want to pay attention and spray elsewhere.”


Sunscreen Protection

Generally, aging photodamage is proof positive that people don’t apply SPF as diligently on their necks as they do their faces. Observes Dr. Busso, “This is a big one. We see most of the sun damage on the sides and in back (on men, on women with cropped hair or who wear ponytails or updos a lot) of the neck. This is because the center V is in shadow under the chin and the jaw while the sides are unprotected. My advice is to apply more sunscreen than you think you may need around the sides and towards the back.”



According to Dr. Busso, skin laxity is the major issue that his patients have with their necks. “The aging face is a face that has changed shape because of fat atrophy and diminishment of underlying supporting muscle and bone. Plus, progressive collagen loss in the skin means elasticity becomes noticeably less taut. Combine this weakening with gravity pulling everything downward and jowls start to droop while the jawline becomes less defined too."


Tightening skin laxity on the neck and jawline is a structural issue that needs to be addressed as such. Dr. Busso has developed a non-surgical alternative to the plastic surgery neck lift with his trademarked BussoLyft. Here he uses a combination of his own threads and proprietary techniques to both reposition tissue and add volume where need be.


“Thread materials and techniques have become exponentially more subtle and sophisticated than when thread lifting was first introduced a decade ago. Back then, we couldn’t tighten the neck. Today, we can; we achieve wonderful improvement and the final result looks restored and perfectly natural.”



Mineral Air in the Picture

Repeat after us, “The skin doesn’t end at the chin.” With Mineral Air Four-in-One Foundation you’ll be able to erase the dermal disconnect between face and neck by (always over a coat of sunscreen, of course) misting under the jaw, down the front into the decolletage and around either side of the neck.

Although we primarily see ourselves as a two dimensional image in the mirror, our beauty exists in three dimensions in the world. Mineral Air can help with that.



What’s the difference?

Mineral Air offers two device-plus-formula categories, one for makeup, the other for skincare.
Mineral Air original (MA) includes its AirMist Device, an easy to use, everyday consumer tool that rivals professional airbrushing in its cosmetic application of our eponymous foundation, blush, or bronzer.
Mineral Air Skin (MAS) features the Renewal Serum System with its ElixerMist Device for lightweight vaporized delivery.

“Between the face and the neck, we definitely see a demarcation in color, texture and laxity. The causes are genetics and lack of attention. Both are reversible and negotiable.”


Mariano Busso, MD
Miami, FL and Beverly Hills, CA

W drbusso.com
IG @drbusso

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