Aging hands may not always seem the most prevalent feature to rejuvenate from signs of aging, but when you think of how much we use our hands they can be a huge indicator of how gracefully (or not so gracefully) we are aging.
Hand rejuvenating therapy can be approached in many ways, topicals, chemical peels, laser, sclerotherapy, fat augmentation and fillers are all treatments that work to restore and renew the tighter, more elasticized skin on our hands.
Topical therapy is noninvasive and appropriate for most skin types. This therapy speeds cellular turnover and gradually thickens the epidermis and dermis. Skin improvements with topical therapy are subtle, and patients must use them consistently to maintain results.
A chemical peel produces a controlled injury to the skin. These peels can strip off the superficial layers or penetrate deeper into the skin. When the layer is sloughed off, wound healing results in the production of new epidermal cells and new dermal collagen. Wrinkles decrease and pigmentation improves.
Using lasers to treat hands is safe, affordable and effective. In many cases, only one or two treatments are required. By choosing an appropriate wavelength, pulse duration and fluence, we can confine thermal injury to the pigment in the melanosomes of the epidermis layer.
Ablative resurfacing of the hands requires caution. Laser resurfacing vaporizes layers of the epidermis, improving dyspigmentation when confined to the epidermal lesions. Ablative lasers can permanently injure the adnexal structures when thermal injury extends to the dermal layer.
Intense pulsed light (IPL) can provide noninvasive photo rejuvenation. With the broad wavelength spectrum, we can selectively treat targets of varying absorption spectra. The deeper penetrating wavelengths of IPL can also heat dermal collagen, inducing collagenases and improving skin appearance. These treatments are quick and not painful.
Sclerotherapy is often the treatment of choice for pronounced hand varicosities. Sclerocent is preferred to because it is safe and produces little discomfort.
Fat augmentation and fillers are effective approaches to volume loss in the hands, a condition that makes hands appear “skeletal.” Fat augmentation requires harvesting, processing and injecting the fat. Fat is ideally taken from the hips, outer thighs or medial knees . A single treatment makes hands look fuller and more youthful. This procedure is time consuming, but the results can last for years.
For more information of hand rejuvenation you can refer to the article “Peels, Lasers and Photorejuvenation Can Get the Job Done” by Heather E. Endicott, NP or contact your Skin NV physician. We are happy to help answer your hand rejuvenation inquiries!