Hands lose volume as we age. The subcutaneous layers of fat become thinner and sadly we lose about 7% of skin thickness per decade. This allows veins, bones and tendons in the hands to become more prominent and bony. There are several factors including the reduction in skin elasticity and volume, dermal vascularity, sun and chemical exposure and smoking which all contribute to ageing hands.
There are several procedures available that can rejuvenate your tired looking hands.
Treatments to Restore Volume
The loss of fat in the hands that comes with age and displays prominent veins and tendons can be safely replaced with injectable fillers to hide unsightly veins and tendons and recover a youthful appearance. As an added benefit, these fillers encourage the production of collagen which will also improve the surface texture of the skin. If the skin has lost elasticity and appears dry and crepey, injectable skin boosters can deliver firmer, plumper skin.
Loss of volume can be reversed with two types of dermal filler;
1. Hyaluronic Acid
Hyaluronic acid is a naturally occurring sugar chain molecule found in all skin and soft tissues throughout the body, identical across species. It attracts and binds water in the skin, providing volume and hydration, but also ‘cushioning’ and supporting collagen and elastin fibres and providing a medium, or carrier, for chemical messages between the cells. Hyaluronic acid dermal fillers are a clear sterile gel in a syringe for injection into the skin providing instant correction.
Radiesse is a dermal filler/collagen stimulator consisting of Calcium hydroxylapatite microspheres suspended in a gel carrier which consists mainly of water and glycerine. Radiesse is highly biocompatible. Calcium hydroxylapatite is the main mineral component of bone and teeth, which consists of calcium and phosphate ions that occur naturally in the body.
Radiesse injections plump and replenish volume to the back of the hands to provide a youthful appearance instantly. Injected beneath the skin, Radiesse raises the skin level so that tendons, joints and veins lose their prominence.
Treatments for Age Spots/ Pigmentation
Age spots can also be improved with procedures such as laser and Intense Pulsed light (IPL). This type of photo-rejuvenation works by targeting concentrated areas of melanin in the skin and breaking them down so that they can be reabsorbed by the body
Precise pulses of light are delivered to the area being treated via the IPL hand piece. The light penetrates the tissue and is absorbed by the melanin (when treating pigmented lesions) damaging them.
The body’s natural processes then remove the injured tissue giving the skin a more even and youthful appearance. This light is also changed to heat energy as it reaches to the level of collagen beneath the skins surface, stimulating the production of collagen and new cells.
Am I suitable for Treatment?
Your practitioner will take a detailed medical history and an assessment of your needs and expectations to ensure this is an appropriate treatment for you.
There are a number of medical conditions and or medicines that may affect the decision to treat or the treatment plan. A full medical history and assessment of your expectations is necessary in advance of any decision to treat.
- Treatment is not recommended if you are suffering from any skin infection in or near the treatment area or are unwell in any way (even a cold).
- If you have previously experienced allergic reactions to any dermal filler or local anaesthetic.
- If you are taking any medicines which affect bleeding, such as aspirin or warfarin.
- If you are taking steroids or have autoimmune disease.
- If you have any bleeding disorders.
- If you suffer from a poorly controlled medical condition.
- If you are pregnant or breastfeeding. If you are currently or have recently completed a course of Roacutane (Isotretinoin acne treatment) in the last 18 months.
- If you are pregnant or breastfeeding.
- Intense pulsed light skin rejuvenation is not particularly suitable for very dark skin types (and suntanned people) as their skin will have very high levels of melanin and so may absorb too much energy.
- Certain medications are known to be photo-sensitive so you should always go through a thorough medical history with a medical practitioner prior to undergoing any treatments.
- Not suitable for those with photo-sensitive epilepsy.
Is it Safe?
Does it Hurt
Dermal Fillers/Rasiesse - Most leading brands also contain a local anaesthetic and most clinicians will apply topical anaesthetic cream, or ice, prior to treatment to numb the skin. Treatment need not be painful.
IPL/ Photorejuvenation - With technological advances IPL/lasers are generally well tolerated and described as mildly uncomfortable with certain treatment areas being more sensitive than others. It is often described as the sensation of a rubber band being flicked against the skin.
How Long Will it Last?
Dermal Fillers - Longevity does vary between products, and between individuals, but most will last between 6 months and 18 months. For more information on dermal fillers please click here.
Radiesse - It is expected to last 9-24 months; in some cases the duration may be shorter or longer than expected. It will always degrade over time and you will return to your pre-treatment state without further treatment. For more information on Radiesse please click here.
IPL/ Photorejuvenation - You may notice some improvement after the first session, but for the best results we recommend a course of treatment 4 weeks apart. Click here to access more information about IPL/Photorejuvenation
Before & After Pictures