Techniques for hand rejuvenation with fillers in aesthetic practice

The face is a well-studied area in anti-ageing medicine. Generally, aesthetic providers look primarily to the face for providing patients with a youthful look and options for rejuvenation. However, there are other areas on the body that reflect the ageing process that providers can discuss with patients to improve upon so as to restore youthfulness. The hands are an often-overlooked area that benefit from treatment, as they show signs of ageing similar to the face, including fat atrophy, decreased collagen in the skin causing wrinkles and pigmentation changes. Here, the article will focus on different ways to rejuvenate the hands and provide patients with a more well-rounded anti-ageing evaluation, consultation and treatment plan.

When first assessing the hand, it is important to perform a general assessment including normal function and anatomy. Look for symmetry, muscle movement and strength, sensation and use the Allen's test prior to performing any procedures.

The Allen's test ensures there is collateral arterial blood flow. Avoid injecting in the hands if the physical exam does not show good collateral arterial blood flow, if the hand has had surgery or indwelling orthopedic hardware or if the hand has atypical anatomy or movements.