PEER-REVIEW | CASE STUDY | Key points
n As in the face, volume deficits in the hand can be corrected using dermal fillers. The procedure is simple, safe, quick, and effective
n Radiesse is more viscous and elastic than other biodegradable dermal fillers. This makes CaHA particularly suitable for volume correction in the hands
n As with every filler treatment, patients should be encouraged to avoid physical exercise and sun exposure until any injection-related side-effects such reddening or swelling have abated
n Hand augmentation with CaHA is a safe and effective procedure, which can be used to correct age-related volume loss from the hands in a single treatment, and without significant side-effects for patients
Figure 4 Even in an aggravated setting, a
remarkable improvement is achievable with just one treatment
After treatment, cooling with ice or iced gloves (e.g.
IceMask ; Liquid Ice CosMedicals AG, Switzerland) is recommended. Figure 2 shows a 77-year-old female patient before and immediately after the injection of Radiesse (1.5 ml CaHA mixed with 0.3 ml lidocaine for the back of each hand); the volume of the hands has increased significantly. Figure 3 shows that a clear improvement in the initial condition can be achieved with the volume filler, even where there is a marked volume deficiency. As with every filler treatment, patients should be
encouraged to avoid physical exercise and sun exposure until any injection-related side-effects such reddening or swelling have abated. It is advisable to schedule a follow-up appointment with patients 2 weeks later in order to assess the cosmetic result. Similar recommendations are also found in the literature17, 20
. For the treatment of photodamage, such 34 ❚
as lentigines on the back of the hand for example, combination treatment with a non-ablative laser or intense pulsed light procedure and chemical peels for further patient satisfaction may be useful.
As with every filler treatment,
patients should be encouraged to avoid physical exercise and sun
exposure until any injection-related side-effects such reddening or swelling have abated.
January/February 2013 |
prime-journal.com
Conclusions Hands, one of the Ôtell-taleÕ signs of ageing, are often ignored. Looking at the typical features of ageing hands, such as volume loss, augmentation therapies that replenish the area with a dermal filler, for example, are an easy-to-perform tool, which achieve immediate results. For this purpose, the dermal filler CaHA, with its prominent volumising capacity, is an essential tool. The volumising effect is immediately visible. Side-effects such as pain, swelling or bruising are minimal and of short duration. CaHA is a dense and easy to mold filler, which wears well in the hands and provides an instant cushion replacement. Hand augmentation
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