Hand Rejuvenation with Dermal Fillers

aging_handsOther than the face and the neck, the hands are the most visible unclothed area of the body.  As we age, the hands also show the effects of aging.

In addition to age spots, the hands can lose their youthful layers of collagen and fat.  The skin over the hands becomes thinner, revealing underlying bones, tendons and veins.

In early May, I wrote a newsletter and blog post about hand rejuvenation in general terms.  Today, I am going to address the issue of volume improvements.

Use of dermal fillers for volume rejuvenation of the hands is growing in popularity (in fact, I just performed one such procedure yesterday in the office).  By improving the volume of the underlying skin, the hands achieve a much more youthful appearance, minimizing wrinkles and decreasing prominence of bones, tendons and veins.

You are an ideal candidate for hand therapy with dermal fillers if your hands show the following signs of aging:

  • pointing_leftWrinkles and fine lines on the backs of the hands
  • Appearance of bones and prominent veins
  • Loss of the natural roundness over the top of the hands when viewed in profile.

Dermal fillers are minimally invasive and require minimal preparation and little downtime. Essentially, the dermal fillers, which consist of hyaluronic acid, replace the loss of collagen over time.

The collagen is important for providing the biochemical foundation for the skin.  An addition benefit to the dermal filler injected into the hands is that this product acts to stimulate fibroblasts to produce more of your own collagen over an extended time.

What should you expect for this procedure? This process can be completed within 30 minutes to an hour, depending on the amount of filler to be used.

A topical numbing cream will be applied to the top surface of the hands. A knowledge of the anatomy of the hands is obviously critical for the injection to be successful and the result to be optimal.

hands_dermal_fillerI use what is called the single bolus technique.  This essentially involves lifting up the skin after cleaning the area with alcohol and inserting a needle into the target depth under the skin.  Following the needle insertion, all the filler will be placed in one large bolus.

After the bolus of filler into the hand, I will massage the top of the hand to distribute the fillers evenly over the whole hand.  A trick I also perform is to have the patient sit on their hands for 10 minutes immediately after the injection. The pressure and warmth of this maneuver helps to flatten and even the filler distribution to a great degree.

Results of the filler are seen immediately.  However, like fillers used on the face, there is a plumping effect that occurs over the next 1-2 weeks as the fillers attract tissue fluid to the area.

The beneficial results of the sitting-on-your-hands technique described above generally lasts for at least 1 year.  More filler can also be added in the future if the initial injection showed improvement.

So, if your face and neck are looking younger and your hands have been neglected, there is hope.  Call us at (207) 873-2158 for a free hand rejuvenation consultation, and I can draw up a personalized plan to address the areas of concern and to restore your youthful hands.

About Dr. John Burke

John Burke M.D. has practiced medicine for over 25 years, and is the founding partner of MidMaine Internal Medicine. He established Maine Laser Skin Care in 2004 after devoting years to learning the latest in laser and dermatologic technology. Dr. Burke has treated patients from all over the United States. He is one of Maine's busiest practitioners in laser treatments, and in the use of Botox for upper facial lines and excessive sweating.
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