PEER-REVIEW | CASE STUDY |
REJUVENATION OF THE HANDS WITH A
DERMAL FILLER
Sabine Zenker presents a case study investigating volume augmentation of the hands with calcium hydroxylapatite microspheres
SABINE ZENKER is Dermatologist, Dermatology Surgery Clinic, Munich, Germany
email:
Kontakt@dr-zenker.de
ABSTRACT Other than the face, the ageing process is especially noticeable on the hands as they are continually exposed to external triggers of skin ageing, such as ultraviolet radiation. In addition, patients who undergo facial rejuvenation treatments notice a growing disparity between their rejuvenated face and hands. The loss of the subcutaneous tissue on the back of the hands in particular causes tendons to become increasingly visible and veins to become more prominent; this ultimately leads to an aesthetically undesirable ‘bony’ appearance of the hands. The calcium hydroxylapatite (CaHA)-based filler Radiesse® — characterised by its high viscosity and elasticity — can provide an immediately volumising effect in these situations. The lack of hygroscopic potential is also advantageous for hand augmentation. Previous studies of Radiesse® (also with an observation period of up to 1-year for augmentation of the hands) confirm the high efficiency and safety of this material. A number of studies on augmentation of the hands were also conducted. In the author’s experience, hand augmentation with CaHA is a safe and effective procedure, which can be used to achieve noticeable, immediate and lasting treatment results, and without significant downtime for patients.
T 28 ❚
KEYWORDS augmentation, calcium hydroxylapatite (CaHA), Radiesse®, back of the hand
forego sun protection here1
HE PROCESSES OF AGEING AFFECT more than just the face; our hands in particular betray our age. This is because they frequently come into contact with harmful substances throughout life, and it is known than many of us will often . As with the face, age-related
changes occur in the epidermis, dermis and all lower layers. Superficial changes may appear as fine lines, roughness, solar lentigines, seborrhoeic and actinic keratoses, and telangiectasias. Sub-dermal ageing processes make the hands look increasingly ÔskeletonisedÕ 1, 2
. These changes will usually become
visible from the fourth decade of life. This article primarily relates to the loss of volume from the back of the hands.
January/February 2013 |
prime-journal.com
Other than the face,
the ageing process is especially noticeable on the hands as they are continually exposed to external triggers of skin ageing, such as ultraviolet radiation.
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