Which is the Best Dermal Filler for the Hands?

Volumizing and hydrating fillers work the best for hands.  Restylane silk, Restylane Lyft, Radiesse, Sculptra, Bellafill are some fillers in hands that work well.  If it's your first time, I would start with Restylane Silk.  It's both hydrating and volumizing and it's a thinner filler than the rest. 

In my experience free fat grafting or sculptra are the best for rejuvenating the hands. The fat is a first choice because it has the best feel and longest term result (permanent) if the fat survives the grafting process. My personal preference is not to use other types of fillers in this area because of natural feel, effectiveness and risk of complications.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Fat injections fill in the sunken areas and cover over the veins of the hands pretty good but seems to disappear in 6-12 months even after 1-2 sessions of grafting for around $1500-2500/session.  Radiesse is another filler that is used with nice results but take around 3 syringes per hand at a cost of roughly $1900 per hand and can last about a yr.  Sincerely,

David Hansen,MD