Crepey Skin : Neck, Decolletage, Under-Eye and Hands
By Dr Amber Halliday, MRCGP MBBS BSc (Hons) | GP & Aesthetic Practitioner | Blue Bird Aesthetics, Worthing | Last reviewed: July 2026
Who Is This For?
- ✓ Fine tissue-paper-like texture on neck, decolletage or under-eyes
- ✓ Eyelid or under-eye skin has become thin and crepey
- ✓ Hands or inner arms show fine folding skin
- ✓ You are post-menopausal or in the perimenopausal transition and notice accelerated skin thinning
- ✗ Primary concern is laxity or sagging — related but different — see Skin Laxity
- ✗ Surface dryness rather than structural thinning — see Dull Skin
Looking for pricing and booking? Visit our NeoGen treatment page
In Short
- Crepey skin is driven by elastin loss — distinct from laxity and from surface dehydration.
- NeoGen PSR is the standout treatment and one of the only technologies able to safely treat the upper eyelid.
- Polynucleotides and Profhilo are valuable supporting treatments especially in perimenopausal patients.
- Prevention through SPF 50 and consistent skincare significantly reduces the rate of crepey change.
What Causes It?
- Elastin loss — the protein allowing skin to recoil; once significantly reduced, the skin folds and does not spring back.
- Collagen thinning — the dermis becomes structurally thinner and less dense.
- Hormonal changes — oestrogen directly supports elastin; its decline in perimenopause significantly accelerates crepey change.
- Chronic UV exposure — the primary environmental driver of elastin breakdown.
Treatments That Help
- NeoGen PSR — deep regeneration; uniquely able to treat eyelid skin
- Plinest polynucleotides — tissue repair and resilience
- Profhilo — dermal hydration and collagen and elastin stimulation
- Nanoneedling — gentle surface option for periorbital area
What Will Not Help
- Standard fillers — not appropriate for crepey texture; in delicate areas can worsen appearance.
- Moisturisers alone — support the barrier but cannot reverse elastin loss.
Your Treatment Pathway
Consultation→Elastin and tissue quality assessment→Polynucleotides or Profhilo started (tissue preparation)→NeoGen PSR course where appropriate — 1 to 3 sessions→Maintenance skincare SPF plus retinol→Annual NeoGen maintenance session
Frequently Asked Questions
Can crepey skin actually be reversed?
Meaningful improvement is achievable — NeoGen PSR stimulates deep collagen and elastin remodelling and the skin becomes noticeably more textured and resilient. Complete reversal to young skin is not realistic but significant improvement in quality and appearance is.
Is NeoGen painful?
The sensation is a warm tingling or mild prickling. Most patients find it very tolerable. Topical anaesthetic is available for sensitive patients.
How long is NeoGen recovery?
The skin bronzes over 7-14 days and the bronzed layer flakes naturally. Social downtime varies by package. Full collagen remodelling results develop over 3-6 months.
Can polynucleotides treat crepey eyelid skin?
Polynucleotides can improve the quality and resilience of periorbital skin. For upper eyelid crepiness, NeoGen PSR is the primary treatment of choice — it is one of the few technologies that can safely treat that area.
How many NeoGen sessions are needed?
One session produces noticeable improvement. A course of three produces the most significant results, spaced 6-8 weeks apart.
Related Concerns
Skin concerns often overlap. You may also find these pages helpful:
- Skin Laxity — related but distinct from crepey texture
- Fine Lines — fine surface lines often accompany crepey texture
- Under-Eye Concerns — crepiness is common in this area
- Perimenopausal Skin — hormonal acceleration of crepey change
People Who Viewed This Page Also Looked At
Unsure Which Treatment Is Right?
Comparing NeoGen with other options for crepey skin?
- What is NeoGen Plasma? A doctor’s guide
- NeoGen cost, results and recovery
- Perimenopause, menopause and your skin
Further Reading – Dr Halliday’s Clinical Guides
- What is NeoGen Plasma?
- NeoGen cost, results and recovery
- Perimenopause, menopause and your skin
- The Ultimate Guide to Aesthetics in Worthing
Book a consultation with Dr Amber Halliday
One-hour medical consultation, no obligation to proceed.
Blue Bird Aesthetics
Doctor‑led medical aesthetics clinic in Worthing, West Sussex. Focused on enhancing natural beauty, improving overall skin quality and adhering to clinically safe treatment pathways.
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Company Registration 15279304
Registered Address: 4 Warwick Lane, Worthing BN11 3DP
ICO: ZB922138
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