Fat can be obtained from any common donor sites such as abdomen, flanks or thighs and is injected in the back of the hands where it will add slight thickness to skin and soften the dark or light color of veins and tendons respectively. This can be done all under local anesthesia or in the hospital if you are having another procedure done under general anesthesia.
If you desire more fullness, the procedure can be repeated after 6 months. It usually takes that long to finalize the amount of fat that will "take." I personally haven't seen or had anyone coming back for more injection to their hands.
It involves 1 - 2 small injection holes on the back of each hand. They will be swollen for a week but you should be able to carry on with your life doing your daily activity. No washing the dishes/ doing laundry or hand massage for 2 week.
Fat Grafting in the Hands
I have used fat grafting in the hands for at least 35 years. Recovery can be a couple weeks in those who have a little more swelling. Additional grafting may be necessary as aging progresses. The fat is harvested from another part of the body and injected through a small stab wound at the wrist.
Fat Transfer Results, Are They Permanent? To Hands?
There is no reason why you would need many treatments of fat grafting to the hands but if that fat doesn't survive you can re inject at any interval. I suggest waiting 6-8 weeks between treatments. Dr. Emer.
Fat grafting can be done more than once in the hands. It's generally best to wait at least 6 months in between sessions.
There are a few reasons this procedure would be repeated. If not enough fat was injected, or there was more re absorption of fat than was expected another treatment should improve the results.
The procedure is done by removing fat from one area of the body with micro-liposuction techniques, concentrating the fat by eliminating anesthetic fluid, oil, and blood cells, and injecting the fat in a gentle and sterile manner with fine tubes (cannulas). It usually takes about 2-3 weeks for the swelling to settle after the procedure. It can be performed under local anesthesia or sedation.
Fillers are an alternative to fat injections that don't last as long but also don't require much recovery time.
Fat augmentation of the Hands is something we developed more than 35 years ago. If properly done it should only need to be done at one time. The initial swelling will go away and the fat that remains will be permanent. See a very experienced injector for this