Injection cosmetology in the fight against dryness and aging of the hands

Despite the fact that patients pay special attention to facial rejuvenation, they often neglect other parts of their body, especially their hands. However, hand rejuvenation is becoming more and more popular. Hand rejuvenation is of great importance for patients because, like our face and neck, they are an area of ​​the body that is almost always exposed to the external environment, regardless of the season.

This, in turn, means that the hands can show age very clearly , especially if the patient has very dry skin on the hands.

On estet-portal.com read how to effectively moisturize the skin of the hands and achieve its rejuvenation.

• Hand skin aging: why hand rejuvenation is becoming more relevant
• Anatomical subtleties of hand rejuvenation
• How can fillers help if the patient has very dry skin? Hand skin aging: why hand rejuvenation is becoming more relevant In fact, according to a study by the American Society of Plastic Surgeons, a person's age can be estimated by looking at their hands alone. Most often, patients show interest in hand rejuvenation when there is a discrepancy between “face age” and “facial age”. and hands. It is important to understand that 
the epidermis and dermis of the arms

 

thinner 

compared to most areas of the face.

There is very little subcutaneous fat on the back of the hands, so even a slight 

reduction in the amount of collagen or elastin fibers

 will lead to a noticeable change in the appearance of the hands.

Read also: Everything is in your hands or effective methods of hand skin rejuvenation

Both intrinsic and extrinsic factors affect hand aging, and generally the rate and extent of change depends on the genetics

 of the individual patient.

Some of the most common external factors that affect hand condition include:

smoking; alcohol abuse;

photodamagei.

• Anatomical subtleties of hand rejuvenation
• Bidic et al. conducted a histological and ultrasound analysis of the back of the hand and found 
three separate layers
• :
Superficial dorsal layer (lamina);

Intermediate dorsal layer;

Deep dorsal layer.

The superficial dorsal layer
•  is located between the dermis and the dorsal superficial fascia. It is this zone that is our target plane for filler injections.
• The sensory nerves and dorsal veins are located in 
the dorsal intermediate layer
• and the extensor tendons – in 
deep dorsal plate

.

Anatomy of the back of the hand: 1 - Superficial dorsal layer (lamina); 2 - Superficial dorsal fascia; 3 - Intermediate dorsal layer; 4 – Intermediate dorsal fascia; 5 – Deep dorsal plate; 6 – Deep dorsal fascia; 7 – extensor tendon; 8 – Visible vein; 9 – Partition.

In deeper planes, subcutaneous fat atrophies, resulting in tendons and metacarpal bones becoming visible.

Thus targeted injection of dermal filler

 into the surface plate allows 

to mask veins and tendons, making them less visible.

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It is important to note that there are no vital structures in the surface layer, making it safer to inject. Therefore, it is important to place the product in the correct plane to ensure optimal correction of volume loss and a natural clinical result without the risk of complicationsand. How can fillers help if the patient has very dry hand skin

While there are a number of options available for moisturizing very dry hand skin, the use of 

dermal fillers  has been found to be the most effective for this purpose, while also providing restoration of volume loss and reduction in the appearance of both tendons , and veins. To moisturize and rejuvenate very dry hand skin, it is better to use either dermal fillers based on hyaluronic acid

, which provide skin hydration, or fillers containing 

polycaprolactone

, as they give volume and smooth the skin by stimulating collagen production.

It is best to use a cannula to administer the product to minimize the risk of vascular injury and reduce the number of punctures to treat a larger area of ​​the wrist.

The cannula is inserted subcutaneously into 

superficial fat compartments, with the entry point slightly further from the crease of the wrist. Read also: 

Age can be hidden: hand rejuvenation with fillers

The filler is placed directly above the fascial plane, parallel between the ligaments. The optimal site for filler injection is the lower surface of the dermis

.

To prevent lumps and bumps, a linear injection of the filler at 0.1 ml per pass is recommended. The total amount of product used depends on the degree of volume loss

, however, as a general rule, you can expect to use between 0.5 ml and 1 ml per arm.

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