Best Filler for Thin, Wrinkled Hands? (photo)

You are quite correct. Thin-skinned, sinewy hands with prominent, protruding veins is a dead give away of a person's age, even when the face and neck appear younger. Whereas even up to not that long ago there was little to be done for this problem, today, we can use volumizing fillers to reinflate the dorsum (backs) of the hands to smooth and reinflate the hands and camouflage the protruding tendons and veins.I have been performing nonsurgical hand rejuvenation for twenty years. Most recently, my favorite combination of volumizers for this purpose is Radiesse combined with Juvederm Ultra Plus XC in my Upper East Side Manhattan practice and Radiesse combined with Princess Volume in my Israel satellite facility where a far greater number of regulatory agency approved products are available.The procedure is nearly painless and takes about ten minutes per hand to perform. One or more entry sites on each hand are numbed with local anesthetic and the material is placed in the sunken areas between the tendons on the backs of the hands via a blunt-tipped cannula and then massaged into place to re-inflate (i.e. restore lost volume) and to smooth the area. The results are immediate and typically engender a "Wow!" response. Bruising and swelling are common for a couple of days afterward, but generally pose no significant downtime problems. Seeking consultation and treatment by a physician injector with experience and expertise in  nonsurgical rejuvenation of the hands is essential. Make sure to check his/her befores and afters photos. 

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

There are several options that help rejuvenate the hands.  First, fillers that are hydrating or volumizing work well to improve the appearance of the hands.  Restylane Silk is a volumizing and hydrating filler that works well to provide support as well as hydration to the back of the hands.  Radiesse is also popular in this area and works well.  Fat is an option but can be more expensive, more unpredictable because of resorption, and can be asymmetric once the swelling subsides.  

The face and the hands loose fat with age.  As a result the tendons and veins appear more prominent.  Restoring the lost volume with either fat transfer or a filler such as Radiesse can be a very rewarding way to treat this problem.  Fat transfer is essentially permanent, however,  fillers need to be repeated.

 

 

The best fillers for your hands are Fat transfer for long lasting results or for intermediate lasting results using injectable fillers such as  Radiesse or Sculptra - they tend to last for 2-3 years in my experience. 

I have been using fat for hands for 35 years to give a permanent filler and a natural look. Most patients have an adequate supply elsewhere on their body 

Renuva is a great option for hand rejuvenation! This product is similar to traditional HA fillers in that improvement and volume can be seen immediately with treatment. It differs though because over time the product is replaced by your body's own fat cells. This gives a longer lasting result. This product is designed to specifically address age related volume loss. See my website or a provider near you to learn more.

Thank you for your question and photos. There are many cosmetic options out there to help reduce wrinkles on the hand. Effective treatments we often provide for our patients are fat grafting and injectable fillers, such as Restylane or Juvederm. Both treatments offer minimal downtime and show immediate rejuvenating results. It is best to discuss these options with your doctor. Best of luck. 

Thank you for your question! Your hands are one of the very first places that reveal your age. Exposed to all the elements, your hands can start to show their age in as early as your 20's. However, most people don't recognize it until later on in their 30's and 40's. Radiesse and Restylane Lyft both give an instant, natural looking result while smoothing the back of your hands.These fillers are found by the FDA to be safe and effective to correct volume deficiency in hands. Wrinkles, tendons, and ligaments are visibly minimized as the volume is restored. This is a quick procedure that is done in the office and doesn't require any downtime. A numbing cream is applied to the hands for any discomfort from injection. For treatment, be sure to see a board certified injector who specializes in this area. 

Yes, sometimes hands are a giveaway to our age.  You can use fillers but also I like to use PRP, platelet rich plasma, which is another great option.  Your blood is drawn, the platelets are separated and re-injected to plump the hands and stimulate collagen.  So you have the immediate plumping action followed by  the collagen stimulation which takes a couple weeks.