The aging process in the hand is characterized not only by the changes in the appearance of the skin but also by the increased visibility of the tendons and veins. This is the result of the loss of volume on the back of the hand and thinning of the skin. A key component in restoring a youthful appearing hand is the replacement of the volume that has diminished over the course of time. Dr. Forley has developed a program to combine volume replacement with skin rejuvenation of the hand.
The aging process in the hands is characterized by wrinkled skin, increased pigmentation, and prominent veins and tendons as soft tissues break down. Dr. Forley discusses the significant improvements that can be achieved in the hands with minimal downtime using volume restoration with injectables such as Sculptra® Aesthetic or Radiesse®. Fraxel® re:store laser is used to complement the overall effect by enhancing surface texture of the skin and lightening brown spots.
Sculptra® is an injectable, biocompatible material that stimulates the production of collagen in the skin. As a result, a thickening of the dermis occurs that has a favorable effect on the aging hand by making the tendons and veins less visible. The process of stimulation of collagen occurs over a period of several months and produces a gradual and very natural restoration of skin thickness. Generally a series of 2-3 treatments at 6 week intervals is necessary to achieve the desired effect. The resulting thickened skin will persist for up to 3 years at which point maintenance treatments can be done.
Radiesse® is another effective filler used to thicken the
tissue on the back of the hand. It is an FDA-approved dermal
filler that consists of calcium-based microspheres suspended
in a water-based gel that will immediately restore volume to
the hand when injected into the skin. It has a collagen
stimulating effect and may produce results of up to one year
duration. Over time, the microspheres degrade naturally into
calcium and phosphate ions that are safely metabolized by
The Fraxel® re:store laser can be used in conjunction with Sculptra® or Radiesse® to enhance surface texture of the skin and lighten sun spots on the hand. A series of 4 laser treatments at monthly intervals are usually required to achieve the desired effect on the skin. The energy is delivered in “fractional” zones of heating with every microscopic treatment zone surrounded by unaffected skin. This approach results in rapid initial healing with short-term redness and swelling over the first several days.