Defining the Basic Aesthetics of the Hand

Jakubietz, Rafael G.; Jakubietz, Michael G.; Kloss, Danni F.; Gruenert, Joerg G.

doi:10.1007/s00266-005-0100-6

Cited by 74 publications

(95 citation statements)

References 16 publications

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“…Excision and redraping of lax skin recreates a tight, youthful skin envelope, increasing the visibility of the underlying structures and thus exaggerating the initial problem of soft tissue loss [6,16]. Sclerotherapy and phlebectomy may temporarily reduce visible veins, but due to impairment of venous return, edema formation and venous stasis may affect the patient permanently [6]. Because the hand lacks efficient deep venous drainage, the remaining veins will likely engorge over time.…”

Section: Discussionmentioning

confidence: 99%

“…Studies on the restoration of a more youthful fullness of the hands that focus on all of these characteristics are still limited and often involve skin excision, sclerotherapy, phlebectomy, and autologous fat injections. Excision and redraping of lax skin recreates a tight, youthful skin envelope, increasing the visibility of the underlying structures and thus exaggerating the initial problem of soft tissue loss [6,16]. Sclerotherapy and phlebectomy may temporarily reduce visible veins, but due to impairment of venous return, edema formation and venous stasis may affect the patient permanently [6].…”

Section: Discussionmentioning

confidence: 99%

“…Because the hand lacks efficient deep venous drainage, the remaining veins will likely engorge over time. Fat injections to augment low-volume areas and soften the outline of deeper structures seem to be very promising [6,9,10,16,17]; however, since this is invasive therapy, it has led to some teams testing other fillers such as collagen or hyaluronic acid [15]. Hyaluronic acid is a glycosaminoglycan found in epithelial and connective tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, the results are unpredictable and only temporary. Hypertrophic scarring, hyperpigmentation, and dyschromia are known complications of these therapies, especially in darker-skinned patients [6].…”

Section: Discussionmentioning

confidence: 99%

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Nonanimal Stabilized Hyaluronic Acid for Tissue Augmentation of the Dorsal Hands: A Prospective Study on 38 Patients

et al. 2012

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Background Often ignored, hands are one of the most telltale signs of aging. This prospective study was initiated to evaluate the effect of subcutaneous hyaluronic acid (HA) injections in aging hands, with special attention to complications and long-term outcomes. Methods Between January 2010 and December 2010, a total of 38 patients with skin phototypes II-IV and between 58 and 76 years old were treated with HA injection for aging hands. The quantity of injection never exceeded 1.0-1.5 ml HA per hand. A clinical follow-up was performed at 2 weeks, 4 weeks, 3 months, and 6 months after injection. Complications were reviewed for the whole series. At the first follow-up, 2 weeks after the procedure, ultrasound was carried out to determine if additional filling material was required. At each follow-up, patients were asked to fill out a satisfaction questionnaire. Results Nine patients developed slight ecchymosis that disappeared after 1 week. No other complications were seen in the series. Pain during the injection and discomfort after the procedure were minimal. At the 2-week follow-up, after ultrasound control, nine patients received a complementary injection. At each follow-up, overall patient satisfaction was high and was validated by clearance of rhytids, veins, bony prominences, and dermal and subcutaneous atrophy. Conclusion Skin revitalization with injectable HA can improve the clinical appearance of the back of the hands. However, this therapy requires knowledge of the possible complications and their remediation as well as knowledge and respect of injected doses. Moreover, despite excellent results at each follow-up, the results of our series are not as good after 6 months, and a longer follow-up would be needed to determine if this procedure provides long-lasting benefit.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Nonanimal Stabilized Hyaluronic Acid for Tissue Augmentation of the Dorsal Hands: A Prospective Study on 38 Patients

et al. 2012

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“…The dorsum of the Hands is one of the mostly visible body parts that undergoes aging (1). Appearance of the hands can reveal a person's age (2).…”

Section: Introductionmentioning

confidence: 99%

Hand Rejuvenation by Ablative Fraction CO2 Laser

et al. 2014

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Background: Ablative fractional CO 2 laser (AFCL) has been reported to be safe and effective to use for preventing hand photoaging in a recent pilot study. Objectives: This study aimed to evaluate the efficacy of AFCL in improvement of hand photoaging in 25 patients. Patients and Methods: A prospective, before-after, single blind study was conducted in 25 patients who presented for desired treatment of hand photoaging. Patients received three treatments sessions with AFCL. Results: All enrolled patients were female and received three treatment sessions. There was no incidence of significant adverse effects such as scarring, prolonged erythema sever edema, post inflammatory pigmentary changes, or infection. Mean improvement one month after three treatments was 48.3% (95% CI, 42.6 -53.9) for skin wrinkling, 53.3% (95% CI, 47.9 -58.8) for skin pigmentation, 46.9% (95% CI, 41.4 -52.2) for skin texture, and 54.9% (95% CI, 49.3 -60.5) for overall cosmetic outcome (all P < 0.05). Conclusions: AFCL can be used safely and effectively in the treatment of hand photoaging.

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