Fat Transfer or Filler help my hands? (photos)

The choice is yours. Filler is less expensive but won't last too long, and is synthetic. I like the ALMI procedure. Autologous lipocyte micronized injection, uses your fat's stem cells to improve volume to your hands. We also add PRP platelet rich plasma to the mix to build blood supply and give more longevity. Look it up and find a provider in your area. Hope this helps. JB

You may want to consider Renuva! This treatment is similar to traditional HA fillers with a big twist. You will see immediate effect like fillers, but over time the product is gradually replaced by your own body fat. This gives you longer lasting results. See my website or a provider near you to learn more.

Thank you for your question. We get this question often.  Radiesse is supposed to last 1 year.  Those who move their hands excessively will have it wear off sooner.  Each patient is different, and may need more or less product.  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.  Fat may be a good option in some cases.  It is usually not our first choice for this issue.  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.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified:  American Board of Surgery, American Board of Plastic SurgeryLas Vegas Plastic Surgery

Aging hands are related to the skin changes that come from loosing the volume that comes naturally with aging, accentuated in smokers or chronic sun exposure. A great way to improve this is with fat transfer in the right planes and amounts performed under local anesthesia. It is a simple procedure if performed correctly and improves not only the volume loss but maybe because of the stem cells in the fat I have seen it improves the quality of the skin. In the few cases that the fat does not remain as usual it can be repeated easily. 
The use of fillers is another option and it can be done if your surgeon has the right experience with permanent fillers like Bellafil. Poorly performed it can cause lumpiness.

Fat transfer will last longer, but is associated with more risks like infection and anesthesia risks. The fillers have less risks but do not last as long and requires injections for maintenance. This will build volume and hide the prominent veins. Then you may need some mild skin resurfacing with IPL or micro-needling.

See an experienced board certified plastic surgeon for best results. 

Best wishes, Dr. ALDO