Volume correction in the aging hand: role of dermal fillers

Alexander Z Rivkin, Alexander Z Rivkin

Abstract

The hands, just like the face, are highly visible parts of the body. They age at a similar rate and demonstrate comparable changes with time, sun damage, and smoking. Loss of volume in the hands exposes underlying tendons, veins, and bony prominences. Rejuvenation of the hands with dermal fillers is a procedure with high patient satisfaction and relatively low risk for complications. This study will review relevant anatomy, injection technique, clinical safety, and efficacy of dermal filler volumization of the aging hand.

Keywords: calcium hydroxylapatite; dermal fillers; hands; hyaluronic acid; volumization.

Figures

Figure 1
Figure 1
Merz Hand Grading Scale Note: Copyright 2007 Merz Pharmaceuticals, reproduced with permission.
Figure 2
Figure 2
Injection technique: after tenting the skin, the needle is inserted into the space between each metacarpal joint and advanced along the path of the red arrows. Product is injected as the needle is withdrawn.
Figure 3
Figure 3
Before (A and C) and one year after (B and D) hand augmentation with 4 cc of diluted VYC-20L HA gel. In my experience, the result lasts for an average of one and a half years.
Figure 4
Figure 4
Vigorous massage after injection blends the injected product into the empty spaces of the hand so that the final contours are smooth and natural in appearance.

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Source: PubMed

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