HIFU Décolleté
Practice of Dr. Thomas Ackermann
HIFU décolleté.
Smooth out crepey wrinkles for the long term.
The décolleté is the body’s “sun terrace”. Decades of UV exposure and the typical deep vertical lines caused by sleeping on your side often make the skin here age faster than in the face. Creams cannot repair this kind of structural damage. With medical HIFU technology (high-intensity focused ultrasound), we pass through the skin surface without injury and stimulate the deeper tissue to smooth and firm itself by massively increasing collagen production.
The result: A plumper, smoother skin texture without disturbing vertical lines.
Transparent medical treatment and billing according to the German medical fee schedule (GOÄ).
Medical premium standard:
- Cellular regeneration: Targeted ultrasound repairs sun damage
- Socially compatible: No surgery, intact skin surface
- Specialist level: Strong pain management for the sensitive breast area
Description
Ironing out the skin’s structure from within
The skin on the décolleté is extremely thin and has hardly any protective subcutaneous fat tissue. As a result, it quickly loses its firmness (elastosis). My concept of Harmony of Aesthetics does not focus on simply “pumping up” these deep wrinkles with large amounts of hyaluronic acid. Instead, we strengthen and densify the tissue at its root cause.
For patients from the Erlangen, Fürth and Nuremberg area, HIFU treatment is the most elegant, non-invasive method to soften unsightly “side-sleeper creases” and perfect the skin texture for summer outfits or low-cut dresses.
Deep dive: How HIFU works on the décolleté
Unlike in the face (where we go down to the muscle layer), on the décolleté we work with special ultrasound handpieces that deliver their focused energy (approx. 65°C) precisely into the mid and deep dermis (depths: 1.5 mm and 3.0 mm):
- The immediate tightening effect: Due to the extremely short heat impulses, the old, lax collagen fibers in the skin contract immediately (shrinking effect). The tissue appears slightly plumper right after the treatment.
- Massive neocollagenesis (long term): The body registers these micro-injuries and initiates an intensive healing process. So-called fibroblasts are activated and massively produce new collagen and elastin. Over the following months, the skin becomes measurably thicker, firmer and more elastic.
- Smoothing the texture: This “plumping effect” from within is extremely effective against fine crêpey skin and deep vertical folds.
Anesthesia expertise meets combination therapy
High-intensity ultrasound in the bony breastbone area (sternum) can be uncomfortable at full energy. To maximize the effectiveness of the treatment, I prepare the area, as a specialist in anesthesiology, with highly effective, prescription-only anesthetic techniques so that you perceive the impulses only as a warm tingling sensation.
My professional insider tip: For extremely sun-damaged, thin skin (“parchment skin”), the combination of HIFU (for thermal tightening) and a complementary injection with hyper-diluted Radiesse (collagen booster) is the absolute gold standard in modern aesthetic medicine.

Wrinkles & Muscle Relaxants
HIFU Lifting
Primary Care Support
Tension & Pain
Hair Health & Hair Loss
Skin Diseases
Drip Spa & Infusion Medicine

