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Hand rejuvenation: a review and our experience
Sabrina G Fabi1, Mitchel P Goldman
1Goldman, Butterwick, Fitzpatrick, and Groff Cosmetic Laser Dermatology, San Diego, CA 92121, USA. sgfabi@gmail.com
Summary
Aged hands show skin atrophy and volume loss. Minimally invasive treatments like injectables, lasers, and chemical peels can rejuvenate the aging dorsal hand.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Anti-aging Research
Background:
- Aging hands exhibit cutaneous and dermal atrophy, leading to prominent bones and veins.
- Epidermal changes include solar lentigines, seborrheic keratoses, actinic keratoses, skin laxity, rhytides, roughness, and telangiectasia.
Purpose of the Study:
- To review and summarize minimally invasive treatment options for hand rejuvenation.
- To discuss practical applications of these rejuvenation procedures.
Main Methods:
- A comprehensive Medline search was conducted for hand rejuvenation studies published between 1989 and 2011.
- Results from the literature search were systematically summarized.
Main Results:
- Various injectable fillers (hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid) and autologous fat transfer are effective for volume restoration.
- Treatments for dorsal hand veins include sclerotherapy and vein ablation.
- Lasers (Q-switched, nonablative, ablative), intense pulsed light, photodynamic therapy, and chemical peels address epidermal and dermal changes.
Conclusions:
- Minimally invasive treatments offer effective options for rejuvenating the aging dorsal hand.
- Injectables and fat transfer restore volume, while various energy-based devices and peels improve skin quality.
- Addressing both volume loss and skin quality provides comprehensive hand rejuvenation.
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