Do Juvederm and Radiesse Have Good Results in the Hands?

Thank you for your question.  Both Juvederm and Radiesse can be used in the hands.  I don't think adding the two together, however, adds much to the longevity other than the fact that you added more volume.

In my opinion, choosing the right filler is based on patient and doctor preference.  Radiesse and juvederm work well, but if you want longevity, sculptra would be best.  Also in our practice, I will combine laser resurfacing the skin of the hands as well.  This also helps in the rejuvenation.  Ask you surgeon about laser re-surfacing of the hand.

Dr. Vasisht, South Shore Plastic Surgery

No matter how nice the face and neck may look after nonsurgical rejuvenation techniques, untreated hands can be the biggest betrayor of a person's true age. Bulging veins and tendons on the backs of the hands scream aging as loudly as bags and tear troughs under the eyes or sagging marionette line angles at the sides of the mouth. 

Radiesse, composed of calcium hydroxyl apatite, is my first choice for treating this area. It is a natural material, which has been found to be very successful in giving long-lasting (between one to two years) results for treating the backs of aging, thinning hands. In general, when premixed with local anesthesia, the treatment is quick and simple. A bolus (a glob) of the material is injected into the back of each hand and then massaged forward into place until the tendons and blood vessels are sufficiently masked. One syringe is usually required for each hand. The results are immediate and typically quite gratifying. 

While Juvederm Ultra XC (composed of hyaluronic acid premixed with local anesthetic) may also be used for this purpose, the results typically do not last as long (eight to twelve months) as with Radiesse. In general this material may be reserved for "first-timers" (i.e. those that have never experienced hand rejuvenation) who might want a material that provides the safety of knowing that hyaluronidase (an enzyme that can quickly dissolve away hyaluronic acid) may be used if for some reason they wish tor reverse the effects. When injected for this purpose, Juvederm is typically layered between the tendons and then massaged in place, rather than injected as a glob. The esthetic results are also quite satisfying.