Dorsal Hand Rejuvenation: A Systematic Review of the Literature

Ovadia, Steven; Efimenko, Iakov; Lessard, Anne Sophie

doi:10.1007/s00266-020-02077-3

Cited by 14 publications

(11 citation statements)

References 45 publications

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“…Minor complications were mainly edema and pain and were only temporary. The authors concluded that overall, hand rejuvenation procedures are safe and efficacious, and rates of patient satisfaction are high [ 39 , 40 ].…”

Section: Reviewmentioning

confidence: 99%

Revitalizing Hands: A Comprehensive Review of Anatomy and Treatment Options for Hand Rejuvenation

Har‐Shai¹,

Ofek²,

Lagziel³

et al. 2023

Cureus

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Dorsal hand rejuvenation is gaining popularity as a solitary procedure and adjunct to face and neck rejuvenation treatments. As the hands age, the skin loses elasticity and becomes more translucent, the veins, joints, and tendons appear more prominent, and the bones become more noticeable. These changes are due to intrinsic and extrinsic factors. Current treatment methods include the injection of dermal fillers and autologous fat grafting. Anatomic studies to ensure the successful implementation of rejuvenation procedures identified three separate fascial layers in the dorsum, from superficial to deep. More recent reevaluations revealed a less distinct, inseparable, sponge-like fascial layer. All authors agree that the superficial dermal layer is probably the optimal location for the injection of volumizing materials because it is free of anatomical structures. Many methods for harvesting, preparing, and injecting fat grafts to the dorsum of the hand have been described in the past three decades. Both filler and fat-graft procedures are performed on an ambulatory basis under local anesthesia. Good results with low postoperative and longterm complication rates and high patient satisfaction have been reported.

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Section: Reviewmentioning

confidence: 99%

Revitalizing Hands: A Comprehensive Review of Anatomy and Treatment Options for Hand Rejuvenation

Har‐Shai¹,

Ofek²,

Lagziel³

et al. 2023

Cureus

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“…The hands undergo characteristic physical changes with aging, including atrophy of the soft tissue, wrinkling, dyschromia, and increased vein prominence 3–5 . Hand rejuvenation has become an increasingly popular cosmetic procedure, often to address these age-related changes 2,6 . Patients seeking hand rejuvenation are typically in their 40s to 60s and are almost exclusively women (96.8%).…”

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confidence: 99%

Defining Key Features in Patient Perspectives of Hand Aesthetics

Joo

Phelan

et al. 2023

Ann Plast Surg

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Background The hand is highly visible and contributes to an individual's aesthetic image and perceived age. Current perspectives on hand aesthetics are primarily based on expert opinion rather than on lay population perspectives, which are less understood. Our study explores general population perceptions on the features that contribute most to an attractive hand. Methods Participants rated the attractiveness of 20 standardized hands as well as the appearance based on each characteristic: freckles, hair presence, skin tone, wrinkles, vein appearance, and soft tissue volume. The relative importance of each feature was assessed by comparison with overall attractiveness scores through multivariate analysis of variance. Results A total of 223 participants completed the survey. Soft tissue volume (r = 0.73) was most strongly correlated with overall attractiveness, followed by wrinkles (r = 0.71), skin tone consistency (r = 0.69), veins (r = 0.65), freckles (r = 0.61), and hair (r = 0.47). Female hands were perceived as more attractive, with a mean rating of 4.7 of 10, compared with 4.4 in males (P < 0.001). Participants correctly identified the gender of 90.4% of male hands and 65.0% of female hands. Age was strongly inversely correlated with attractiveness (r = −0.80). Conclusions Soft tissue volume is the most important factor in lay perception of hand aesthetics. Female and younger hands were perceived as more attractive. Hand rejuvenation may be optimized by prioritizing soft tissue volume with filler or fat grafting, with secondary priority on resurfacing to address skin tone and wrinkling. An understanding of the factors most important to patients in aesthetic appearance is critical to achieving a pleasing result.

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“… 5 , 7 Lasers and other light-based treatments can also address surface changes and signs of photoaging. 5 , 7 , 13 …”

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confidence: 99%

“…Injectable dermal fillers and autologous fat grafting may add volume to soften the outline of deeper structures. 5 , 7 , 13 , 14 Finally, sclerotherapy or endovenous vascular ablation can be performed to remove persistent or prominent veins. 5 , 8 …”

mentioning

confidence: 99%

A Single-Center Pilot Study to Classify Signs of Dorsal Hand Aging Using 3 Grading Scales

Wamsley

Vingan

Barillas

et al. 2022

Aesthetic Surgery Journal Open Forum

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Background While validated scales must be created in order to systemically evaluate patients and quantify outcomes of aesthetic hand treatments, scales currently available are limited to analysis of volume loss alone. Objectives The purpose of this study was to develop three validated scales for the assessment of dorsal hand aging that also take into consideration wrinkling and pigmentation. Methods Fifty (50) healthy volunteers (40 females, 10 males) with Fitzpatrick skin types I-IV were recruited, and standard photographs of their left and right dorsal hands were taken with a Nikon D7100 (Nikon; Minato, Tokyo, Japan) camera. Using 25 randomized photographs, eleven Plastic Surgery physicians (three chief residents, six senior residents, and two aesthetic surgery fellows) were trained on the three scales under investigation, as well as the already-validated Merz Hand Grading Scale. The evaluators then viewed the remaining 75 photographs independently and assigned a grade for each of the four scales to each photograph. Interrater variability was calculated for each scale. Results The Kappa score for the Merz Hand Grading Scale was 0.25, indicating fair agreement, 0.40 for wrinkle scale, indicating fair agreement, and 0.48 and 0.46 for the pigmentation density and intensity scales, respectively, indicating moderate agreement (p<0.001). Conclusions The results show that after receiving training, the interrater agreement for the three scales under investigation was similar or slightly higher than that for the Merz Hand Grading Scale. These three photographic classification systems can be used consistently and reliably to characterize multiple signs of dorsal hand aging.

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Dorsal Hand Rejuvenation: A Systematic Review of the Literature

Cited by 14 publications

References 45 publications

Revitalizing Hands: A Comprehensive Review of Anatomy and Treatment Options for Hand Rejuvenation

Revitalizing Hands: A Comprehensive Review of Anatomy and Treatment Options for Hand Rejuvenation

Defining Key Features in Patient Perspectives of Hand Aesthetics

A Single-Center Pilot Study to Classify Signs of Dorsal Hand Aging Using 3 Grading Scales

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