Dr. Judith Valiente García is an aesthetic doctor and belongs to Top Doctors, the select circle of top doctors in Spain. She will talk to us about hand rejuvenation treatment.
What type of patient requests hand rejuvenation treatment?
Any type of patient would be a candidate for hand rejuvenation treatment as long as, logically, it is indicated. But in general the patients who require it most frequently are patients from 45-50 years of age and onwards because they begin to see for themselves that there is a very evident contrast between the skin of the face, which they take care of much more frequently, and the skin of the hands, which is normally much more neglected.
What are the most common treatments?
On the one hand we can treat the back of the hands, or do a hand rejuvenation, treating exclusively pigmentations, which is a treatment very requested by patients. They have lentigines, spots, etc … and these treatments are performed either with different types of laser very specific for pigmentation or with some type of peeling that also gives a fantastic result in terms of hand rejuvenation because we get to improve pigmentation and skin quality in terms of fine wrinkles, texture, etc ….
On the other hand we can do mesotherapy treatments which consists of injecting different products such as vitamins, amino acids, peptides, non-crosslinked hyaluronic acids, which do not give any kind of volume to the skin but they greatly improve the quality of the skin, hydration and texture.
Finally we could talk about a much more intensive treatment for this type of hands that look like skeletonized since the skin is very thin and the tendons, veins, etc., are transposed. Of course at the level of veins and tendons we can not do anything but we can thicken the dermis so that the aesthetic appearance is much younger. For this type of treatment I use a cross-linked hyaluronic acid, which is a little bit denser than the one we use in the vitamins or in the vitamin cocktail, and for this I use a cannula that would be like a fairly long needle to be able to access the entire back of the hand through very few incisions, 2 or 3 only, and in this way we avoid the risk of a greater number of hematomas even though the back of the hand is very vascularized, since by using this cannula, which has a blunt tip, we do not traumatize the tissues and in general there is much less edema, less hematoma and it is practically painless. For this type of treatment no anesthesia is needed, the product that I inject already has anesthesia incorporated and the patient can live a completely normal life from the moment she leaves the office.
Are the results definitive? What kind of maintenance should be followed?
In general in any type of aesthetic treatment, hands or any other, you have to do a maintenance because the aging process continues. From the first minute that you have done a treatment we continue to age. Obviously the aesthetic aspect of the area we have treated will last much longer if we do the treatments than if we do nothing. It is also necessary to do maintenance because I never use non-absorbable products, they are always resorbable products and therefore the product that we have injected will be reabsorbed over time and we will have to renew it. But in general, depending on the type of patient, the age and the care taken in terms of sunscreen, in terms of hydration…, it will be necessary to do a maintenance treatment either after 6 months or a year or to do a combination of treatments and one year to do a peeling or laser treatment and another year to do a stimulation treatment.