Hand rejuvenation (fist)
The hands are the part of the body where the signs of aging appear first, which is understandable because they are in motion most of the day and are often exposed to external influences such as cold and dehydration.
As we age, we lose the subcutaneous soft tissue volume, and the tendons and bone structures become more visible. The thin skin of the hands becomes even thinner and rougher over time and therefore starts to look wrinkled. Exposure to sunlight results additionally in sun spots and hyperpigmentation.
With hand rejuvenation treatments, we achieve a condition of skin which is tighter, soft tissue volume is being restored and thereby the visibility of veins and tendons is reduced. Following such treatment, the hands are fuller, look younger and are generally in a much better shape. Rejuvenation treatments can be non-invasive, but also surgical and the two can be combined depending on individual needs and wishes of the patient. Hand rejuvenation treatments are divided into the category of volume restoring and skin rejuvenation.
Restoring lost volume
Restoring volume to the dorsum of the hands reduces the visibility of veins and tendons, which can be achieved either by non-invasive treatments, with injection of dermal fillers of hyaluronic acid or stimulants of collagen synthesis, or by surgical procedure of fat cell transfer.
Dermal filler treatment is considered a non-invasive treatment whose aim is to compensate for lost volume, promote better hydration and elasticity of the skin and stimulate collagen synthesis. There are several types of dermal fillers that can be used in the process of rejuvenating hands - such as hyaluronic fillers, Profhilo and stimulators of collagen synthesis (Radiesse). The therapeutic procedure is fast, relatively simple for an experienced specialist, and the recovery time is short. Possible side effects of the treatment are rare, and usually consist of minor swelling or bruising which vanishes over several days. The treatment is almost painless and the results can last up to 18 months. Depending on the degree of volume loss, one or two treatments are required.
AFT or lipofilling
Autologous fat transfer is extremely effective in compensating for lost volume. It is a surgical procedure performed in two steps: the first is to remove fat cells from certain parts of the body, and the second to inject these cells into the hands, following proper preparation. As a portion of the cells is resorbed with each fat transfer, two treatments are usually needed for optimal results. Recovery time is slightly longer, but the results are more lasting.
The skin can be successfully rejuvenated by a combination of laser treatments, chemical peelings for mild changes, radiofrequency and injections of skin boosters using hyaluronic acid.
We often use a combination of lasers to achieve the best results. Laser treatments can be used to remove sun spots, for example with the Q switch laser, or the Er: YAG laser, which improves skin texture by removing shallow to moderately deep skin wrinkles while stimulating collagen and elastin synthesis.
Laser treatment is performed under local anaesthesia. Possible side-effects are mild redness and flaking of the skin, as well as pigmentation which may temporarily give the skin a darker look. The hands should not be exposed to sunlight one month after the treatment.
Chemical peeling treatment is one of the non-invasive treatments that can significantly reduce undesired skin pigmentation. The procedure removes the damaged surface layer, making the treated region look younger and fresher. We recommend chemical peelings when the changes on the skin are mild.
Radiofrequency treatments stimulate the natural synthesis of collagen. The procedure is painless, non-invasive and is mostly used to prevent the aging process as well as to address milder changes when a youthful appearance of the hands is desired.
Skin boosters using hyaluronic acid
These fillers are injected very superficially with thin needles or cannulas, and their effect is to hydrate the skin.