Aging Hand: Caveats
Not everyone is a candidate to rejuvenate their hands, Vleggaar says. Among the conditions that may disqualify a patient, he says, are osteoarthritis, rheumatoid arthritis, hand tremors, or Parkinson's disease.
Not everyone thinks the dermal fillers should be used in the hands. On its web site, the Physicians Coalition for Injectable Safety states that dermal fillers shouldn't be used in the hands. Fat injections in the hands, however, are viewed as acceptable by the American Society for Aesthetic Plastic Surgery.
What Price for Pretty Hands?
"It can get quite costly, between lasers and injectables, to treat a hand," DiBernardo says. "Overall, the cost could be $3,000-$5,000, if you did everything."
For patients on a budget, DiBernardo suggests they "set up a treatment protocol according to the problem you would like to tackle."
Or if you want the most return for just one treatment, he suggests correcting the contour with filler. "It's a very dramatic result and you can see it right away." Most patients who have their pigment problems treated seem happy too, he says.
While the fillers are temporary, Guy says she believes her vein removal procedure is permanent, "but we have only followed these people for a couple years."
Second Opinion: Aging Hands
Skin treatments with lasers or a technique known as intense pulsed light (IPL) therapy may be the best bets for hand rejuvenation, says Jack Friedland, MD, a Scottsdale, Ariz., plastic surgeon not involved in the panel discussion.
Lasers or IPL ''that treat brown pigmented spots for removal work," he tells WebMD.
He says he is not convinced that the fillers used in the hand give a completely natural look.
Aging Hands: The Jewelry Alternative
Another alternative for younger-looking hands? Wear jewelry.
In a survey, published in Plastic & Reconstructive Surgery and cited by Guy, hands with jewelry were rated as younger looking by observers than those without, although the differences weren't significant.