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    Topical Treatments, Lasers, and Fillers Can Help Turn Back the Hands of Time

    WebMD Health News

    Aging Hands? Docs Put Beauty Within Reach

    May 8, 2008 (San Diego) -- If your face looks younger than your years but your hands aren't keeping up, there's help.

    If you've got the funds, plastic surgeons have a host of solutions to make your hands look young again -- or at least be a closer match to your face.

    "The best place to guess someone's age is their hands," says Danny Vleggaar, MD, a physician at Clinique Vert Pre in Geneva, Switzerland, and part of a panel of plastic surgeons discussing new options for rejuvenating aging hands at the annual meeting of the American Society for Aesthetic Plastic Surgery in San Diego.

    Pigment changes, age spots, texture changes, loss of fat, contour changes, and prominent veins all contribute to make the hands look older, Vleggaar and his colleagues say.

    To turn back the clock, plastic surgeons are offering topical treatments, lasers, and soft tissue fillers, the same ones that refresh the face.

    Topical and Laser Treatments for the Aging Hand

    Topical treatments include tretinoin, says Barry E. DiBernardo, MD, a plastic surgeon in Montclair, N.J., and another panel member. Chemical peels can also improve the appearance of the skin on the hands, he and others say.

    Laser treatment can also improve the hand's appearance. "Feathering" the effect of the laser near the wrist can help prevent a "line of demarcation," says DiBernardo, who works as a consultant for filler and laser manufacturers.

    Filler Treatments for the Aging Hand

    Fillers approved for use in the face are being used to restore the lost volume in the hands that often accompanies aging.

    DiBernardo mixes the filler Radiesse with lidocaine, an anesthetic, and injects it to help restore a more youthful contour. Once injected, he massages the hand to distribute the filler evenly.

    "It will take one or two syringes [of filler] per hand if there is significant contour to improve," he says.

    If patients are happy with the fillers, DiBernardo says he sometimes switches to autologous fat injections (fat collected from your own body) the next time if the patient agrees. The fat is typically longer lasting, he says.

    Another filler, Sculptra, may last longer than other fillers, up to two or three years, says Vleggaar, who has presented studies about the filler at professional meetings and works as a consultant for Sculptra's manufacturer and other companies.

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