Aesthetic surgery of the aging hand

Area of Science:

• Plastic Surgery
• Dermatology
• Gerontology

Background:

• Aesthetic surgery of the hands receives limited attention despite common age-related changes.
• Senile hand changes include sagging skin, wrinkles, lentigines, keratoses, and dorsal vein dilatation.
• Etiology involves actinic damage and gravitational effects.

Purpose of the Study:

• To analyze age-related changes in the hands.
• To review the etiology and histology of these changes.
• To present a rational surgical approach for hand rejuvenation.

Main Methods:

• Analysis of senile hand changes (sagging, wrinkling, lentigines, keratoses, vein dilatation).
• Review of etiological factors including actinic rays and gravity.
• Surgical interventions: excision of sagging skin, phleboexeresis, and chemical exfoliation.

Main Results:

• The study analyzes the authors' experience over the past 5 years with the proposed methods.
• Detailed outcomes of the surgical interventions are evaluated.
• Effectiveness of the combined approach for hand rejuvenation is assessed.

Conclusions:

• Aesthetic hand surgery can effectively address signs of aging.
• The proposed rational approach combining skin excision, phleboexeresis, and chemical exfoliation yields positive results.
• Further interest and research in hand rejuvenation techniques are warranted.