Boob wrinkles, chest wrinkles, and décolletage creasing: no matter what you call them, most people don’t love seeing these lines develop. Patients frequently ask us: Why do chest wrinkles happen at an early age? Are chest wrinkles from sleeping a real thing? And how do you get rid of chest wrinkles?
To answer those questions, it helps to understand both the anatomy of the chest and the mechanical forces that affect this area day and night.
The anatomy of chest wrinkles: why the décolletage ages differently?
When most people think about skin aging, they focus on the face – fine lines, sun exposure, skincare routines, and lifestyle habits. Yet one of the earliest areas to show visible aging is often overlooked: the upper chest, also called the décolletage.
Part of this is simply habit. Sunscreen and skincare are usually applied carefully to the face, while the chest often receives less consistent care. However, biology also plays a role. The skin of the décolleté is more delicate than facial skin. Studies show it tends to have a thinner epidermis and dermis, fewer pilosebaceous units, and a lower density of hair follicles.1 Anatomically, oil glands are associated with hair follicles, and this means that, compared to the face, chest skin produces less natural oil and retains less moisture.2 In addition, most people have only a modest layer of subcutaneous fat in this area, providing limited structural support.
The result is that chest skin can be more prone to dryness, creasing, and early textural changes. This is why, for many patients, chest wrinkles appear earlier and become noticeable faster than wrinkles on the face.
Chest wrinkles from sleeping: the role of gravity and mechanical stress?
Sun exposure and time matter – but mechanical forces matter too, especially in women. Breast anatomy, gravity, and sleeping position all influence how the skin on the chest folds and compresses.
When you sleep on your side, the breasts naturally shift forward. In many women, this creates a fold in the skin between them. Night after night, that repetitive compression can lead to what is commonly called sleep wrinkles: vertical lines and deeper creases on the chest. As collagen declines with age, the skin becomes less elastic and less able to bounce back, making these lines more likely to persist.
In short, chest wrinkles often develop not only because of sun or aging, but because delicate skin is repeatedly folded for hours every night.
How to Prevent Chest Wrinkles: Skincare Helps, But Not The Whole Story
Daily sunscreen and high-quality skincare are essential for protecting the chest during the day and maintaining overall skin health. Some doctors recommend retinoic acid or tretinoin, antioxidants (vitamin C), and/or hyaluronic acid. These skin care products can help with pigmentation, texture, and collagen support. Some doctors also recommend microneedling, chemical peels, laser therapy, or hyper-dilute Radiesse (calcium hydroxyapetitite – which is a biostimulator). However, none of these modalities can prevent the mechanical folding that happens during side sleeping.
That’s why we were interested in solutions designed specifically to address sleep-related chest wrinkles.
Our experience testing the SmoothChest Sleep Bra by YoungerBod
Important disclosure: This review is not sponsored. Staff members purchased the SmoothChest Sleep Bra themselves and tested it independently so we could share honest, firsthand feedback with patients. Video models did receive a free bra for modeling services; however, their review and input were not included in our team’s product review.
Women in our office were curious to try the SmoothChest Sleep Bra by YoungerBod, which was invented by an aesthetic nurse who designed it to address the mechanical forces that contribute to chest wrinkles during side sleeping. To keep this review objective, staff members purchased the bras directly from the company and tested them independently.
Here’s what they reported.
1. Support and separation
YoungerBod explains that during side sleeping, gravity pulls the upper breast downward and inward, leading to folding of the skin between the breasts. The women in our office agreed with this assessment.
During testing, staff reported that the structured center panel of the SmoothChest Sleep Bra sat securely between the breasts, comfortably maintaining separation and helping prevent downward collapse while side sleeping. Testers also appreciated the level of compression; participants wore sizes ranging from XS to XL. According to the company, the bra is made from a soft compression knit fabric sourced from Portugal, designed to provide consistent support without feeling tight or restrictive, allowing for comfort throughout the night.
Our smallest-framed reviewer (5’7”, 108 lbs, 27-inch underbust, 34-inch overbust), who has had prior breast augmentation, noted that because she has a naturally very narrow space between the breasts, she considered slightly narrowing the center silicone panel for a more customized fit. For context, the narrowest portion of the center panel on a size XS/S measures approximately 1 inch, while her intermammary distance is closer to 0.5 inches. Despite this, she felt the bra worked well as designed and ultimately chose not to modify it due to her overall satisfaction with the fit and performance. She also tried the bra while playing tennis and particularly appreciated the breast stabilization/separation during activity, even though this is not the intended use of the product.
2. Silicone technology to help keep the skin smooth
The SmoothChest Sleep Bra incorporates a thin layer of medical-grade silicone within the center panel. This silicone is designed to lightly adhere to the skin, helping keep the delicate chest area flat during sleep.
The concept is similar to silicone scar sheets or facial wrinkle taping: when skin is held smooth and supported, it is less likely to crease. Silicone may also help maintain hydration by reducing transepidermal moisture loss.
During testing, staff members reported that their chest skin appeared smoother in the morning. When asked whether they would continue using the bra, all testers said they liked it and planned to keep using it.
Why We Like Preventative Options for Chest Wrinkles: A Hard-to-Treat Area
Chest wrinkles, “boob wrinkles,” and décolleté creasing are notoriously difficult to treat once they are established. Compared with the face, the decolletage of the chest has thinner skin, less oil production, and less underlying support, which limits how aggressive treatments can safely be.
There are non-surgical in-office options, but each has tradeoffs. Lasers and energy-based devices can improve texture and pigmentation, often requiring multiple sessions, downtime, and strict sun avoidance. Injectable treatments such as neuromodulators (such as Botox) or biostimulatory fillers (such as Radiesse) must be used cautiously in the chest because of the risk of visible irregularities or prolonged swelling in this delicate area. Topical skincare (such as retinoic acid and vitamin C) and sunscreen are essential, but they cannot address the repeated mechanical folding that occurs during side sleeping.
That’s why we appreciate simple, non-surgical, approaches the SmoothChest Sleep Bra which was designed to help support chest wrinkle prevention. Rather than trying to correct established chest wrinkles after they form, this strategy targets one of the root causes: nightly mechanical creasing. It’s easy to use, involves no procedures or downtime, and works well alongside sunscreen, skincare, and in-office treatments as part of a long-term plan to help prevent and minimize chest wrinkles.
How is SmoothChest Sleep Bra different from chest patches?
Chest wrinkle patches are typically adhesive silicone sheets that are applied directly to the skin overnight. While they may temporarily smooth the skin, they can have several practical limitations. Because they rely on adhesion, they may shift or peel off during sleep, especially if you move around. Some people also find the adhesive irritating, particularly with repeated nightly use on delicate chest skin. In addition, chest patches are consumable products that must be replaced regularly, which can become costly over time. For example, the CicaCare silicone sheets (Smith & Nephew), cost $22 each on Amazon. Clearly, this can add up into the hundreds of dollars over the course of one year.
The SmoothChest Sleep Bra works differently. Rather than sticking a patch onto the skin, it uses an integrated medical-grade silicone panel that is stabilized by the garment itself, which helps keep the skin flat without relying on adhesives. Because it is washable and reusable, it functions as a long-term solution rather than a disposable one. Many people may also find it easier to incorporate into a nightly routine compared with applying and removing patches each night.
How is SmoothChest Sleep Bra Different and a breast pillow?
Breast pillows or positioning pillows are designed to be placed between the breasts to reduce compression during side sleeping. Pillows can shift during the night as you move, making their effectiveness inconsistent. Some people also find pillows bulky, uncomfortable, or impractical for regular use.
The SmoothChest Sleep Bra is worn on the body, so it stays in place throughout the night even if you happen to change positions frequently. By combining breast support, separation, and a stabilized silicone panel, it helps provide continuous control of the forces that can contribute to chest wrinkles.
For more information on the SmoothChest Sleep Bra by YoungerBod, check out their website: www.youngerbod.com
[1] Vanaman M, Fabi SG. Décolletage: Regional Approaches with Injectable Fillers. Plast Reconstr Surg. 2015 Nov;136(5 Suppl):276S-281S. doi: 10.1097/PRS.0000000000001832. PMID: 26441106, available at: https://pubmed.ncbi.nlm.nih.gov/26441106/
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