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

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!

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.