Hand Filler

For many people, the most visible signs of aging occur in the face. But the hands can also reveal the effects of time. The skin over the top of hand becomes thinner and more transparent and underlying fat deposits shrink. That causes the veins to be more visible. In some cases, the veins may bulge. In addition, dark brown or black spots (called lentigos, or liver spots) begin to appear.

Traditionally, soft tissue fillers have been used to fill out fine lines and wrinkles on the face. But Allan Wulc, M.D., F.A.C.S., Cosmetic Plastic Surgeon, says the treatments can also be used to give volume to the tops of the hands, reducing some of the visible signs of aging. Although there are several options when choosing a filler, he prefers to use hyaluronic acid. It’s injected under the skin in a few areas of the hand. Then the target areas are gently massaged to evenly spread out the filler. Patients may have a little bruising and discomfort. However, the side effects can usually be managed with ice packs and acetaminophen. It takes about two weeks for the swelling to go completely down and for the effects to be most noticeable.

Wulc says an initial treatment may take anywhere from two to six syringes of a filler. The treatment lasts about 10 to 14 months. Then a reinjection is typically needed to maintain the effects. However, patients usually only need one syringe for a maintenance injection. There are also other options for hand rejuvenation. Bleaching creams may help fade small areas of liver spots. Dermabrasion, chemical peels, intense pulsed light therapy and laser therapy may also help to remove blemishes and smooth the texture of the skin.