Hand Rejuvenation

J Cutan Med Surg. 2008 May-Jun;12(3):107-13.

Hand rejuvenation using intense pulsed light.

Goldman A, Prati C, Rossato F.

Department of Dermatology, Laser and Plastic Surgery, Clinica Goldman, Porto Alegre, RS, Brazil. alberto@goldman.com.br

BACKGROUND: The aging of the hands is typically characterized by wrinkles, skin thinning, and solar lentigines. The search for effective treatments has led to the use of laser and intense pulsed light (IPL) technologies.

OBJECTIVE: To assess the effectiveness of an IPL device for the improvement of dyspigmentation and overall skin quality on the dorsa of the hands.

METHODS: Twenty-three patients with sun damage and solar lentigines on the dorsal hands were treated with four IPL sessions at 3- to 4-week intervals. Prior to treatment, photographs were taken and informed consent was obtained. Pre- and post-treatment photography and investigator clinical assessment and patient questionnaires were collected for data analysis.

RESULTS: After four treatment sessions, good to excellent results in the improvement in solar lentigines and skin quality were assessed by investigators in 100% of the cases and in 86.94% (20 of 23 subjects) by patient self-assessments. No significant side effects were observed.

CONCLUSION: IPL is an effective and safe treatment option to improve solar lentigines and skin texture for hand rejuvenation.

Dermatol Clin. 2005 Jul;23(3):515-27, vii.

Rejuvenation of the aging hand.

Butterwick KJ.

Dermatology/Cosmetic Laser Associates of La Jolla, 7630 Fay Avenue, La Jolla, CA 92037, USA. kbutterwick@spa-md.com

This article reviews aging of the hand and the treatment options for cosmetic rejuvenation. Options available for cutaneous rejuvenation include microdermabrasion, chemical peeling, intense light sources, and laser therapy, including pigment lasers, ablative resurfacing, and noninvasive rejuvenation. Protuberant veins of the aging hand can be treated effectively with sclerotherapy. The soft tissue atrophy of the aging hand is best treated with fat augmentation. The article concludes with a mention of new fillers that are just beginning to be used for soft tissue atrophy of the hand.