The back of the hand does not lie: dry skin, brown spots and veins inexorably show our age. Normally the hands are the first areas that people fixate on; For this reason, it is not by chance that sophisticated manicures, with perfect nails and in line with colors and fashion trends, have become widespread in recent years.

Our hands, due to intrinsic factors, such as genetic background, which are responsible for chrono-aging, and external factors , such as solar radiation, pollution, tobacco, drugs or stress, are subjected to an important aging process.

How can we combat it and preserve its beauty for longer? The solution lies in the new combined techniques , which put the concept of ” global remodeling ” on the table .

Macrolane treatment on the hands

The hands, over time, tend to lose elasticity and firmness, showing wrinkles and skin laxity, their appearance is skeletonized due to the thinning of adipose tissue, and they begin to show spots and unsightly actinic or senile keratoses. Is a comprehensive treatment possible to counteract all the signs of aging? We have asked Dr. Antonella Quaranta, an aesthetic doctor specializing in General Surgery.

In my medical practice I apply personalized chemical peel protocols , such as 30% trichloroacetic acid buffered with hydrogen peroxide for the treatment of skin elasticity, or depigmentary peels based on kojic acid, glycolic acid and azelaic acid to attenuate or eliminate the dyschromia, in some cases accompanied by devices such as pulsed light and high intensity IPL, radiofrequency and the “Fraxel” 1540 laser

But the true injection of beauty, in my experience, is “biostimulation” , performed with dermal fillers based on low molecular weight biphasic hyaluronic acid, which has moisturizing properties for the skin, or “bio-restructuring” , with specific dermal fillers for the rejuvenation of the hands, whose effects last between 1 and 2 years. The latter consists of a new generation filler, fully resorbable and biocompatible, made up of 70% carboxymethylcellulose, which fills wrinkles and gives volume immediately, and 30% polycaprolactone PCL, which stimulates the production of collagen in the type I.

What is the treatment and how long does it take?

After cleaning and disinfecting the skin surface, you can opt for two different treatments, depending on the case, explained Dr. Quaranta. If we decide to use the needle injection technique, a topical anesthetic ointment is applied. However, if we choose the cannula, we must inject local anesthesia in the interphalangeal area at the base between the fifth and fourth fingers, between the fourth and third, and between the third and second, so that the patient does not feel any discomfort . After anesthetizing the area, we mark the entry points with the needle, in which we introduce a very thin cannula, injecting the filling with a retrograde linear or fan technique at the subdermal level. The session generally lasts between 20 and 30 minutes; at the end, the treated area is gently massaged.The result is appreciated instantly, with great satisfaction of the patient : the hands have a more compact, smoother skin texture, they are more hydrated. I mean, the hands are younger!

Does the filling look natural?

To achieve better results, I always avoid overcorrection, I prefer to follow the treatment little by little; The effect of the combined treatment is enhanced by the perfect synergy that it can create , and especially in the case of polycaprolactone, it is reinforced during the weeks following the treatment by the formation of new collagen. During the evaluation of the results, which must be carried out after a month, it is decided on an eventual touch-up, a small touch-up, the doctor concluded.

Is a post-operative needed?

It is simply a minimally invasive outpatient treatment, but it allows you to have smoother, softer and fuller hands, without those wrinkles or blemishes that give us a few more years, with a price that varies between 300 and 800 euros depending on the nature and the severity of stains.

During the first 24-48 hours, patients are recommended not to leave their hands hanging or do any excessive work with their hands , all of this always depending on the amount that has been injected into their hands, after which a life can be returned totally normal. After 15 days, the first examination is carried out with clinical criteria and a control by ultrasound, with which it is possible to obtain a diagnosis which determines if it is necessary to perform a second dose of Macrolane, which will be performed immediately or during a new appointment between weeks 3-4 after the first treatment.

What are the results that we can obtain with this procedure?

Among the many benefits that Macrolane can provide us, we can find some such as the following:

Visible reduction of all wrinkles on the back of the hands.
Completely attenuated tendon, vein and bone reliefs .
A marked improvement in atrophy in the skin and subcutaneous tissue.
By obtaining such fast results and with an excellent evaluation by the users, as well as the recommendation by the aesthetic professionals who use it. The vast majority of patients express a high degree of satisfaction, with which they value the absence of side effects , only in one case a very slight swelling is known that disappeared completely after two days, in the rest of the patients. no pain, bruises, or even tingling was found.

After one year of follow-up, the improvement reached 85% of the patients according to the graphic tests and medical criteria , being an excellent result since the age of the patients to whom it was applied was between 50 and 80 years. having in some of the cases some hands with a significant deterioration.