Jan. 8, 2015
Deborah Graham Warren

Turning Back the Hands of Time—with HAND REJUVENATION

After the face and neck, our hands are the next giveaway to show our age, sometimes prematurely. Through a variety of treatments and techniques, hand rejuvenation is fast becoming a popular way to turn back the hands of time—literally.

What happens to our hands as we age?

As Dominic A. Brandy, MD, board-certified cosmetic surgeon and Founding Medical Director of The Skin Center explains, “For every year over the age of 25, the hands start to lose significant bone and muscle mass. Simultaneously, the skin loses about 1% of its thickness each year, while also experiencing many unattractive pigment changes or ‘age spots.’ What we see, secondary to these changes, is that the veins become more prominent. And the wrinkles become more noticeable as the tendons become very exposed and the spaces in between the tendons very depressed.”

What to do? Add volume with dermal fillers

Charlotte, a beautiful, vibrant and very active 74-year-old, experienced such changes. Becoming more and more frustrated over the years, Charlotte observed how her hands gave away her age—so much more so than her face. With long, slender fingers and hands, Charlotte felt that her hands didn’t match her face or youthful spirit.

One simple and effective way to re-volumize the hands is with temporary dermal fillers.

RadiesseCharlotte turned to expert injector, Nellie Sicher, RN at The Skin Center in Pittsburgh for help with Radiesse®, a simple yet effective hand rejuvenation treatment. Radiesse is an FDA-approved dermal filler that helps rebuild skin from the inside out.

During Charlotte’s treatment, Nellie first carefully injected Radiesse in the hollow areas between bones, veins and tendons. No anesthetic cream was necessary since the injections are so quick. Charlotte just felt a pinch with each injection which is easily tolerable without pain relief.

Immediately, the filler can be seen as small round lumps under the skin. The next step was to smooth out the lumps by using a combination of heat and pressure. “One effective way that we do this is to have the patient sit on her hands for a few minutes,” says Nellie. Charlotte’s body heat quickly warmed up the filler under her skin, making it easier to spread.

Finally, Nellie used a smoothing gel to massage the filler throughout Charlotte’s hands. A believer in a “less is more” approach, Nellie prefers being conservative with injections, rather than overdoing it on the first try. Charlotte may come back for a second treatment once final results can be seen after swelling dissipates. Slight swelling can be expected for 1-2 days following Radiesse injections for hand rejuvenation.

After just one 15-20 minute appointment with Nellie, Charlotte noticed an immediate improvement. It’s that fast! And results with Radiesse should last 9 to 12 months.

Other types of hand rejuvenation treatments

Fat transfer, one of Dr. Brandy’s favorite facial procedures, is also a permanent hand rejuvenation technique in which fat is taken from an unwanted area of the body and transferred into the hollow spots on the hands. The beauty of fat transfer is that it is permanent.

For dark spot correction, patients have the option of chemical peels, Intense Pulsed Light (IPL) or Broadband Light (BBL) treatments. These options help fade age spots and sun damage while minimizing fine lines and wrinkles.

Through a combination of hand rejuvenation treatments for added volume and dark-spot correction, patients can take years off the appearance of their hands. To view Before and After Photos, click here.

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