Aging Hand Rejuvenation

At A Glance; Hand Rejuvenation

  • Best Results1-3 sessions
  • Treatment RecoveryVariable
  • Procedure Time30 minutes
  • Skin SpecialistDermatologist, Dr Davin Lim
  • Duration of Results18 months to 5 years
  • AnaestheticNumbing
  • Back to WorkImmediately
  • Cost$- $$$

Aging Hand Rejuvenation

This involves a series of procedures to turn back the clock on the backs of the hands. With age our hands will develop brown spots, wrinkles & prominent veins. Lasers, dermal fillers & fat transfer can effectively turn back time. Lasers are effective in treating skin texture, improving pigmentation & wrinkles. Dermal fillers including collagen stimulating fillers & autologous fat transfer will re-drape the skin, hiding exposed tendons & volume loss.

FactsFacts on Hand Rejuvenation

  • Volume loss & laxity increases with time. The hands are not exempted from this process
  • Hands are often exposed to sun, with very little or no UV protection
  • Rejuvenation involves thickening the dermis with collagen stimulating fillers
  • Age spots, pigmentation & laxity can be addressed with various lasers
  • Fat transfer can be considered in cases of marked atrophy
  • Most patients require only one filling session
  • Lasers can be combined with IPL/BBL for better outcomes

Why rejuvenate the hands?

Hand rejuvenation combines treatments designed to turn back the clock on the backs of the hands. The thinner skin in this area can experience changes faster than other areas, resulting in protruding veins & tendons, brown spots, sunspots & wrinkles.

Why are dermal fillers used for hand rejuvenation?

As we age, we deplete dermal collagen & adipose tissue (fat). This decreases the support for the overlying skin. What this means is that skin becomes thin, easily bruised, with accentuation of veins & tendons. Volume loss coupled with ‘spots & dots’ from pigmentation results in the signs of accelerated ageing.

Dermal fillers replace loss collagen. This thickens our dermis, masks the skeletal look of ageing & increases volume. My dermal filler of choice is a collagen stimulating filler known as Calcium Hydroxyl Apatite. This filler lasts longer than the traditional hyaluronic acid fillers & provides more collagen over time.

How do I perform dermal fillers for hand rejuvenation?

I use a cannula to deliver fillers with one entry point. The filler solution is premixed with local numbing agents to ensure this procedure is painless. I prefer collagen stimulation for the hands over the traditional HA fillers because of the longevity & volume I can deliver with the former.

Filler TypeLongevity Costs vs VolumeUse
Hyaluronic AcidUp to 2 years+++++Finesse & contours
Collagen stimulating

Ca OH Apatite 

3-5 years++Volume & bulk increase of collagen

How can fat transfer help rejuvenate hands?

For those who elect not to employ the use of dermal fillers, fat transfer is another sensible option. This procedure involves taking fat from areas such as the flanks, abdomen or thigh area. This fat is then processed through sedimentation & filtration, then re-injected in key areas such as the hands, cheeks, temples & tear troughs.

The advantage of fat transfer is that we are using a natural substance. Additionally large volumes can be used, with a relative cost saving to the patient. Fat also contains millions of stem cells known as ASC or adipose stem cells. These cells can produce new skin, stimulate & produce collagen as well as new fat. Hence skin quality & volumes can be addressed with this procedure.

The disadvantage of fat transfer is that 50% or more of the volume injected will be resorbed within the first few months of injection. In some cases, the volume is more, in others it is less. Hence fat grafting is less predictable than dermal fillers. The pros & cons will be discussed during the time of consultation.

Davin’s Take on Hand Rejuvenation

Hands can tell a story of sun damage and age. Over time skin thins out, tendons & veins become more apparent in addition to easy bruising due to loss of collagen around the blood vessels & skin.

In most cases I combine lasers, IPL, photodynamic therapy as well as dermal fillers in the one session. Energy devices such as lasers treat skin texture & improves the quality of skin. Superficial pigmentation responds well to these modalities. Dermal fillers, as the name suggests, thickens the dermis, hiding veins & tendons. My go to filler is one called calcium hydroxyl apatite (Radiesse) as this filler can be formulated according to the level of atrophy (loss of tissue). For severe cases of ageing a stronger formulation is required, whilst for mild to moderate cases I have the option of hyper dilution.

Another sensible option is fat transfer. This is especially so if larger volumes are used. Longevity of fat (once past the initial 3 to 6 months), is often longer than fillers.

Prevention is important post procedure. Sunscreens & repair formulations can prevent & treat future sun damage. People often overlook the importance of hand creams & skincare.

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