“The


Figure 1 A 20 G sterile needle is used to make a hole in the previously anaesthetised skin


Figure 2 A blunt, sterile cannula — disposable or reusable — is inserted through the previously made perforation


combination of this technique with other procedures, such as chemical peels, intense pulsed light, or mesotherapy, will achieve very gratifying results.


”


Figure 3 Advance the blunt cannula in a distal direction


To highlight the results, the author asks the patient to make a fist.


Once the procedure is finished, the author


recommends applying an ice pack and compression bandages to both hands. Some bruising is expected but overall, the procedure is completely painless.


Conclusions The injection of Varioderm® Plus to address the loss of volume in the dorsal of the hand is a very simple, safe and effective technique to rejuvenate the ageing hand. The combination of this technique with other procedures, such as chemical peels, intense pulsed light, or mesotherapy, will achieve very gratifying results. Furthermore, long-lasting results are achieved as a result of the highly cross-linked characteristics of Varioderm®, with an estimated duration of at least 12 months in the author’s experience.


Figure 4 Retrograde injection of the filler


Figure 5 Treated (right) and untreated (left) hands prime-journal.com | March 2012


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