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Injectable fillers for younger looking hands

Posted:9:44 a.m. Friday, March 21, 2014

By Anita Mandal, M.D.

Question: My face looks youthful as I maintain regular treatments with Botox, fillers and lasers. However, the back of my hands give away my age. Can fillers be used to give volume to my aging hands?

Answer: While my practice is mainly restricted to the face and neck region, I do use injectable fillers to restore volume in the hands. With age, volume is lost over the back of the hands resulting in more visible veins, wrinkles and bony prominences.
Temporary fillers as well as long-acting ones such as Bellafill® have been used for hand rejuvenation treatments. The downside of temporary fillers is that such a high volume is needed for hand treatments that temporary fillers are not cost-effective due to the need for frequent maintenance injections.
Bellafill® has the benefit of being a more cost-effective option for hand rejuvenation. While Bellafill® is more costly per syringe, with typically at least 5 to 10 syringes needed to treat aged hands, there is much less maintenance with Bellafill® since it is a long term filler.
An additional benefit is that Bellafill® is injected with blunt-tipped cannulas rather than sharp-ended needles, resulting in less pain, bruising, swelling and discomfort. The cannula technique also allows one to push the many visible veins out of the path of injection with less chance of puncture.
While most injectable fillers are not FDA approved for use in the hands, hand injections are considered “off-label” use, consistent with commonly accepted standards of practice.
If you are interested in hand rejuvenation with Bellafill®, thorough consultation with a skilled Bellafill® specialist is the first step.

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