Hand rejuvenation revisited
Combination therapies improve results.
The hands are the most visible area of the body next to the face and neck. We have multiple procedures to erase the signs of aging from the face and neck.B The dorsum of the hand is where one sees signs of aging.
As we age the skin gets thinner and as we lose volume, the flexor tendons and vessels become more prominent.B With the loss of fullness, there will be loss of elasticity and the texture of the skin assumes a crepe paper appearance.B Age spots consisting of lentigines and actinic keratosis also become more prominent and make the hand appear older.
I have used fat grafting to correct the volume and improve the texture of the skin and also hide the tendons and veins that become more prominent.
Combination procedures with lasers, peels and microneedling can correct pigment and improve the texture of the skin.
The FDA just approved Radiesse for hand rejuvenation.B Radiesse is a great filler for hand rejuvenation because of itb�s high G prime.B This filler gives the most lift when placed in tissues, and studies show that it has good longevity in lasting close to one year.
The procedure usually involves mixing the Radiesse with lidocaine and I like to inject it with a cannula just like I inject the fat.B The cannulas will minimize potential trauma to vital structures present in the hands. This technique will fill the dorsum of the hand nicely and there is minimal side effects.B Edema and slight pain are the most common side effects and these can be minimized with compression and immediate icing of the hands.
We are currently offering a special hand rejuvenation offer the month of September.