Which is the Best Dermal Filler for the Hands?

Silikon-1000 is an off-label, permanent filler that works well for hand rejuvenation. With topical anesthetic and no downtime, the appearance of veins and tendons may be permanently reduced. 1-3 treatments may be necessary for achieving a desired result.

Attached is a photo from out RealSelf gallery demonstrating hand rejuvenation with Silikon-1000.









Thank you



Dr Joseph

Thank you for your question.  We are often asked this question.  In Las Vegas, we get many card dealers who take pride in the appearance of their hands, as that is what the public sees.  Often the aging had will have more visible vessels and tendons.  The hands may also have solar damage, or just aging changes to the skin.  We often will inject patients with Radiesse to add volume to the hands and decrease the harsh appearance of the vessels and tendons.  Radiesse is FDA approved for this.  We often will follow this up with appropriate peels to help smooth the coloration and give the skin a more vibrant look.  Best to see a Board Certified Plastic Surgeon.  They have had multiple years of hand surgery training, and know hand anatomy and function well.   Some, (like our office), have had additional hand fellowship training.   They are also well versed in how to best treat the skin, as they diagnose and operate on it.

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

You may want to consider Renuva for hand rejuvenation. This product is specifically designed to address age related fat loss. It is similar to traditional HA fillers in that you see some improvement immediately with treatment. It differs however because over time the product is replaced by your body's own fat providing longer lasting results. No surgery or fat transfer is needed. Visit my website to learn more.

Thank you for your question! In my practice, we offer Restylane Lyft for treatment of wrinkly hands which is a result of volume loss. Restylane Lyft has recently become FDA approved for hand rejuvenation. This is the first hyaluronic acid based fillers which can reverse the appearance of aging hands. This entire process takes just under 15 minutes, and results can last up to 12 months. For best results, it is important to see a board certified dermatologist with cosmetic injection experience. Best of luck to you!

Hi Parveen,
Hand rejuvenation is best approached with a comprehensive treatment plan that will include prevention, skin care, laser, and dermal fillers. There are a number of options available, depending on the condition of your skin and the desired outcome. 
The best filler will depend on many factors; also, the best filler for you might not be the best filler for someone else.
Filler type can be separated into hyaluronic acid (HA) fillers, which can be reversed, and non-HA fillers, which generally last considerably longer.
For first time treatments I like to use HA fillers. Having the reversibility option makes them safer and leaves the option for them to be removed if for some reason the patient doesn't like the result. If your skin is very thin, then a thin filler that has less cross linking and smaller particle size is in order. All major HA producers will have a range of fillers on offer that work well.
Please consult with a physician experienced in providing comprehensive treatment plans that include skin care, lasers, and fillers, and plan a long-term strategy that will keep your hands looking youthful and natural. Best of luck!

Radiesse Filler Is best for the top of your hands. It's the first FDA- approved treatment that makes the veins on the back of the hands disappear. Radiesse Filler firms and plumps the thinned skin making veins there go beneath the surface. It's a simple procedure that makes the hands look years younger. It's painless and no recovery and the results are immediate and amazing.

Thank you for your question.  There are several dermal fillers on the market, each of which has its own particular characteristics.  None of them, however, are FDA-approved for injection into the back of the hands so all of them would be considered "off-label" use.  Perhaps the most commonly used for the hands is Radiesse.  A consultation with a board certified plastic surgeon can help you to understand the differences between the fillers and which one would be best suited for you.  Best wishes.