Which is the Best Dermal Filler for the Hands?

My hands have kind of creepiness on the back side,so I am looking to plump up my hands.which filler is more long lasting?

Doctor Answers 9

When used properly, Silikon-1000 may lead to natural looking hand rejuvenation.

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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

West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews


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Radiesse is a great option for hand rejuvenation. Patients typically need one syringe per hand and results last 1 year. Results look very natural and beautiful. 

Justin Harper, MD
Columbus Physician
5.0 out of 5 stars 24 reviews

Best Filler for the Hands

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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.

Dennis Gross, MD
New York Dermatologist
4.7 out of 5 stars 11 reviews

Radiesse Now FDA Approved

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Radiesse is now FDA approved for injection into the hands. It offers patients a great option of reducing signs of aging and visibility apparent veins. 

Christine Sullivan, MD
Columbus Plastic Surgeon
4.5 out of 5 stars 35 reviews

Which is the Best Dermal Filler for the Hands?

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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. 

Josef Hadeed, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

Which is the Best Dermal Filler for the Hands?

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Our approach to hand rejuvenation involves:

1. Injectable fillers with hyaluronic acids (Restylane, Perlane, Juvederm), Radiesse, Sculptra, or Fat.  You can speak to your physician about which one is best suited for your needs.  

2. Laser treatment of pigmented spots

3. Sun avoidance and sunscreens

Ramtin Kassir, MD
New York Facial Plastic Surgeon
4.7 out of 5 stars 180 reviews

Best filler for the hands

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Often the face is well tended to with botox, fillers, peels, lasers and lifts, but the poor hands often give away your age.  Brown spots, big veins and fat loss age their appearance.  Although many fillers can be used,(hyaluronics, radiesse, sculptra and silicone), in my opinion the longest lasting, safest and most cost effective, with rarely any problems is radiesse.  The brown spots can be addressed with IPL and the veins with sclerotherapy.

Stephen Mandy, MD
Miami Dermatologic Surgeon

Hand rejuvenation - plumping the hands

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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.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Fat injections seem to work for the hands and needs to be done every 6-12 months.

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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

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.