Aging of the Hands:
As we age, our hands change. The skin becomes less smooth and more sundamaged. The hands lose volume causing the veins to become more prominent
Dermal filler can improve:
Wrinkles in the hands: Dermal filler can be injected to fill the wrinkles
Skin of the hands: this can be improved with dermal filler or skin boosters
The lack of volume in the hands: The volume of the hands can be replaced with dermal filler causing a much younger appearance
TREATMENT OF HANDS WITH DERMAL FILLERS
Choosing the type of dermal filler for the hand
We use several different types of dermal fillers in the hands. We cannot use their names due to Australian regulations, which makes it difficult to talk about how they compare to each other and the pros and cons of each.
Dermal fillers: These are safe and well tolerated, with great results
Skin booster : This is great for skin improvement in the hands, rather than volumisation
Dermal filler /Stimulator : This is a very popular treatment for the hands. It is white in colour, which can be a benefit. The lasting with biostimulator is excellent
Dose of dermal fillers
The dose required for hand filling is variable, it depends on the patient’s anatomy, and where the patient wants to get to in terms of results.
The doctor will assess the hands and decide on the best dose after taking a history and examining the patient. If a patient has a history of complications with dermal fillers, or if their budget is small or if they want a more subtle result, then a smaller dose might be chosen to start with.
Typically, we would start with 1-2mls of dermal filler in each hand. 1-3 treatments may be required.
Pain relief during treatment
A numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal) Glad wrap may be used over the numbing cream to increase its effect.
If a cannula is used, local anaesthetic is used prior to the cannula being introduced into the skin
There is local anaesthetic in the dermal filler
Ice is always used to decrease pain and to reduce the risk of bruising.
Very rarely patients will use Penthrox for dermal filler in hands
Nitrous oxide (happy gas) is available for patients to use
What happens during the injectables treatment itself?
The hands will be cleaned with alcohol.
Ice will be applied to the area briefly before treatment The doctor will inject using a very fine needle. Then pressure with gauze will be applied.
If a cannula is used, a small injection of local anaesthetic is injected into the skin and then a fine needle makes a small hole in the skin where the cannula is inserted.
How will I look after dermal filler in the hands?
There may be redness and swelling, and red dots at the injection sites
Side effects /risks with dermal fillers in the hands:
Bruising occurs in a significant number of cases.
Swelling in the injection area will occur. This will last for aprox 48 hours
Asymmetry: Sometimes one side is better treated than the other, this is usually because the patient is asymmetrical to start with.
Infection is a very rare complication, but always a possibility when the needle goes into the skin.
Necrosis (blood vessel being blocked, interfering with blood supply to the skin) is very rare. This could lead to scarring. The nose is susceptible to necrosis
Need for further treatment: It may take several syringes of product acto get to where the patient wants to be.
Instructions for care afterward
No makeup for 4 hours
No heavy exercise that day
No acid face products for 24 hours
No spas no saunas, no hot yoga for 1 week post treatment
What to expect after the hand dermal filler treatment?
The effect of the dermal filler will be obvious immediately
Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.
What if I get asymmetry at some time before the 2 week point? Do I call the doctor?
No. No need to call the doctor. Sometimes asymmetry will occur because one side is more swollen or bruised. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be examined at the review appointment. There is no point in coming in early for treatment of asymmetry as there is often swelling associated and so the final result cannot be seen until at least 2 weeks. Treating asymmetry too early could lead to further asymmetry
How long will the treatment last?
The answer to this is very individual and depends on the patient’s anatomy, metabolism, the dose, the placement, the product etc. Typically with our most commonly used dermal fillers: If the patient is happy with the results at 1 month (ie there has been adequate fill) they should be treated at 6 months, then at 6 months and then once yearly. If the patient is not satisfied with the results at 1 month (ie more dermal filler is required to obtain the results that they desire), then further dermal filler should be injected every 1-3 months until the desired appearance has been reached, and then the patient should have treatment at 6 months, then 6 months, then once yearly
Cost of dermal filler in hands:
Cost is per syringe. Cost can range from $1400 upwards
BEFORE AND AFTER PHOTOS DERMAL FILLERS HANDS