Skin rejuvenation treatments are becoming increasingly popular over the years as we can achieve better and safer results due to advancement in medical science. The majority of patients requesting for anti-ageing treatments often look to rejuvenate the face, and the hands are often neglected. Our hands are just as visible as our face and they similarly undergo photo-ageing.
Aging of the hands is affected by both extrinsic and intrinsic factors. Extrinsic factors such as sunlight, chemicals and smoking can lead to pigmentation, sunspots and skin discoloration. Intrinsic factors can lead to volume loss, more prominent veins, skin laxity and skin thinning.
Range of treatments for Extrinsic/Intrinsic Ageing
There are a number of treatments which can be used for hand rejuvenation, and the treatments can be split into treatments for extrinsic ageing and treatments for intrinsic ageing.
Treatment for intrinsic ageing via injectable products
HA (hyaluronic acid) fillers
CaHA (calcium hydroxlyapatite)
Treatment with injectable products (fillers) will help with volume restoration and this will address most signs of intrinsic hand ageing. Volume restoration will improve the appearance of wrinkles, skin laxity and prominent veins. The improvement can be seen soon after the treatment and the result can last 6-18 months depending on the product used.
Step 1: Numbing agent is applied to the back of the hands for 30 minutes to reduce pain during procedure.
Step 2: Back of the hands are thoroughly cleansed prior to injection to reduce the risk of infection.
Step 3: Small entry point is created at the back of the hand with a tiny needle. This is to allow the advancement of the cannula which is used to facilitate the injection of the filler. The cannula is slowly advanced and the filler is injected evenly at multiple areas. Cannula is usually preferred over direct needle injection as it helps to reduce pain and the risk of bruising.
Step 4: Both hands are massaged thoroughly to ensure even spread of the filler. This will ensure the contours are smooth and natural in appearance.
Post treatment care
Alcohol, strenous exercise, painkillers (NSAIDs) and intense hand activities should be avoided for one day. If there is swelling after treatment, ice packs can be applied to the affected area.
Hand rejuvenation with filler is a safe and effective treatment with high patient satisfaction. Discuss with your doctor to see which product will be the most suitable for you as each has its own benefits.
Kühne U, Imhof M. Treatment of the ageing hand with dermal fillers. J Cutan Aesthet Surg. 2012;5(3):163-169.
Rivkin AZ. Volume correction in the aging hand: role of dermal fillers. Clin Cosmet Investig Dermatol. 2016;9:225-232. Published 2016 Aug 30.
Written by Dr. Wu Jiwei,
MBBS, PG Dip (Clinical Derm) (UK)
8 Medical Aesthetic Clinic
Disclaimer: The material contained in this is for informational purposes only and do not constitute medical advice. The content is not intended to be a substitute for doctor’s advice, diagnosis, or treatment.
Disclaimer: The material contained in this is for informational purposes only and do not constitute medical advice. The content is not intended to be a substitute for doctor's advice, diagnosis, or treatment.