What filler will last the longest for Hand Rejuvenation?

Thank you for your question. We get this question often.  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.

Fat transfer is a very good option that allows for permanent results.  Restylane and Radiesse work very well as well.  

Thanks for question. Hand rejuvenation depends on the patient. So, I would recommend a consult with a board certified plastic surgeon to determine the best course of treatment. But generally, I like to inject Renuva into the hands to help add volume that was lost with age. Renuva is a scaffold that signals to your body to deposit a small layer of fat to the hands. Once your fat settles in this location, it is there for life! Good luck!

Fat transfer, if done adequately
in the hands, will overcorrect by 50-75%.
Non-surgical treatment for hand rejuvenation can be done by using Radiesse.
Both are effective long term and will restore
volume.

If as an older person, one notices some atrophy of the top of the hand, with the tendons and intervals between them getting more noticeable, then the use of fat to restore volume is the most long-lasting option, since fat that is successfully transferred is now living and part of the tissues of the hand. Stem cells in the transferred fat may also contribute to an improved quality of skin and improved appearance. The procedure is done with local anesthetic and fat is harvested from an available donor site, such as the love handles or lower abdomen.  The hands would have to be kept fairly immobile for several days to allow the fat to take.

I find that a combination of Radiesse and Belotero give amazing natural looking results.  Fat lasts longest if you want something permanent.  By injecting with cannulas, there is literally no downtime, no bruising, or pain.  Best, Dr. Emer.

If you are opposed to more aggressive means of hand rejuvenation such as fat transfer, then fillers may be a good option for you. The fillers I most commonly use for this are Voluma, Juvederm Ultra Plus, and Radiesse. I also use microcannulas for this as there is virtually no risk of bleeding or bruising. You can check out the video below for an example. Hope this helps.

Natural fat transfer works really well for hand rejuvenation. Further, whatever fat survives the procedure (which is commonly upwards of 75%) will last forever...without need for twice annual injections as with other hyaluronic acid fillers. I perform this very commonly in the face...and it works very well in the hands as well.

I encourage you to explore Renuva for hand rejuvenation. This product is designed to provide volume for age related fat loss. It provides immediate improvement like typical HA fillers, however the product is replaced gradually with your own body's fat. This gives longer lasting results. There is no surgery and no fat transfer! Visit my website to learn more.

Our office offers patients a permanent solution for bulging, unsightly veins on the back of the hand. HVR, Hand Vein Removal, takes about 20-30 minutes per hand, uses local anesthesia only, and has no downtime. Plus, it's permanent!