Addressing volume loss in hand rejuvenation: A report of clinical experience

Abstract

The overall results from the three clinics presented here show that patients were very satisfied with the results of PLLA treatment for the hands, and experienced only minor and short-term injection-related adverse events.

Facial Soft-Tissue Fillers conference: Assessing the State of the Science

“…The study reported that patients were very satisfied with the results of the treatment and experienced only minor and short-term injection-related adverse events. 39 As previously described, a retrospective study conducted in the United Kingdom (n = 221) found that nodules occurred in subjects who were treated with poly-l-lactic acid in the perioral and periorbital regions. As such, the study recommended that these areas be avoided as sites for poly-l-lactic acid treatment.…”

Hand Rejuvenation Using a Combination Approach

“…Two to 3 treatments were recommended for all patients, at 1-month to 2-month intervals and most of the patients pursued treatment until they were satisfied with results. 42 Another retrospective review of patients treated with PLLA in the hands concluded a high degree of satisfactions with the results, with only minor and shortterm injection-related adverse events. 10 Others have noted an increased risk of nodularity for the thin skin of the hands.…”

“…Specifically, diluted preparations with 7 mL of diluent per PLLA bottle and ensuring massage during treatment followed by daily hand massage for 1-month posttreatment can minimize any adverse effects. 42 Several treatments may be required and, in contrast to other products, a waiting period is necessary to determine whether full correction has been achieved that can last up to 2 years (Figure 8). In a case series of 26 patients treated with PLLA for hand rejuvenation, each vial of PLLA was reconstituted on the night before the procedure to a volume of 10 mL: 6 mL of sterile water for injection and 1% lidocaine to provide a more dilute preparation.…”

Volume correction in the aging hand: role of dermal fillers

“…Sadick et al reported on their experience using PLLA for hand rejuvenation 19. The results indicated that patients were very satisfied with the treatment, and AEs were mild and transient.…”

“…Patient satisfaction is high for hand rejuvenation treatment across all of the fillers described in the literature 19,21,28,29. Marmur et al conducted a small pilot study investigating patient satisfaction of CaHA for hand augmentation 29.…”