Hand wrinkles

  • Best ResultsVariable
  • Treatment RecoveryVariable
  • Procedure TimeMinutes
  • Skin SpecialistDermatologist
  • Duration of ResultsYears
  • AnaestheticNA
  • Back to WorkImmediately
  • Cost$-$$

Hand wrinkles

Hand wrinkles can be classified as volume loss dependent wrinkles & age-related decline in skin quality. Hence treatments are designed to replenish volume & stimulate dermal collagen. In Brisbane, Queensland, sun damage is commonly encountered on the hands, adding to the complexity of hand rejuvenation.

FactsFacts on Hand Wrinkles

  • Hands start to show their age in the fourth to fifth decade of life
  • Wrinkles are due to both collagen loss & fat loss
  • Collagen loss is best treated with fractional laser resurfacing
  • Fat loss is treated with dermal fillers
  • Fat transfer can be effective in some cases
  • Combination treatments give the best results
  • Anti-wrinkle creams include retinoic acid, retinol & alpha hydroxy acids

How to treat hand wrinkles?

The three best methods to rejuvenate hands include lasers, dermal fillers & creams. Fractional lasers improve pigmentation, sunspots & superficial wrinkles. Dermal fillers replace loss volume, improving wrinkles caused by fat & collagen depletion. Hand creams maintain skin quality post procedures.

Hand, don’t forget them as anti-aging treatments are effective.

What can dermal fillers do?

Dermal fillers are the key to all aspects of skin rejuvenation as they provide volume. One of the contribution factors for hand wrinkles is age & sun induced depletion of both collagen & fat. Fillers replace fat, & stimulate dermal collagen, elastin & hyaluronic acid. For hand wrinkles I employ the following fillers;

  • Calcium hydroxyapatite; the best filler for this location.
  • Poly-L-Lactic acid: in hyper dilute solutions can be used for the hands.
  • Hyaluronic acid: not cost effective in this location.

    Dermal fillers add VOLUME to volume depleted hands. I use several types of fillers depending on the amount of ageing.

How long do fillers last?

It depends on the filler. For HA fillers, between 10 to 16 months. Collagen stimulating fillers including PLLA & Ca hydroxyapatite last at least twice as long. This group of fillers give the best results 3-6 months after injections.

Fillers take 5- 10 minutes to perform. There is no downtime associated with filling.

What types of lasers do we use to treat hand wrinkles?

A simple way to understand lasers & energy devices is to conceptualise the depth of wrinkles & photoaging. 

Superficial wrinkles are treated with a combination of Intense Pulse Light & thulium 1927 or 1940 lasers.

Deeper wrinkles are treated with a combination of CO2 fractional laser, thulium or 1940/1550 Frax/Fraxel lasers.

Fractional lasers such as CO2 & Fraxel can make a huge impact on rejuvenation.

Davin’s Viewpoint on Hand Wrinkles

This is a popular treatment as hands reveal their age. They are frequently neglected in the treatment algorithm; however, treatment is easy to execute. The mainstay of all treatments is to prevent further damage with high factor SPF sunscreens. If you garden a lot, go to the extreme of wearing cotton gloves to protect your skin.

The most predictable way to reduce wrinkles is with the use of combined lasers & dermal fillers. Treatment time is 20 minutes. Dermal fillers provide an instant correction that gets better with time. I use PLLA, Ca Oh as well as traditional hyaluronic acid filler. My preference is hyper dilute Ca Oh- it just works. This filler gives good one to one correction that moves over 3-5 months with more collagen stimulation. It typically last 2-3 years.

I also combine various lasers to help improve superficial hand wrinkles & to improve skin quality. They include BBL-IPL with thulium laser or erbium – CO2 fractional. I occasionally combine ALA PDT or retinoic acid, depending on the degree of sun damage.

Fat transfer in this area is also a sensible option – especially in large volume defects. It can be more cost effective than dermal fillers in the long run. The big unknown is the predictability of duration (regardless of what other people tell you). Fat can improve hand wrinkles- mainly via displacement of volume (sultana vs grape analogy). Any superficial improvement in skin quality, namely dyschromia & fine wrinkles, is a fluke.

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