Hand Rejuvenation Treatments
Dr. Sadickuses a three-step combination approach. “First, I perform liquid or foamsclerotherapy to remove bulging veins and smooth the surface of the dorsalhand. About a month post sclerotherapy, I restore lost volume with a dermalfiller. I prefer Radiesse as it has a great safety profile, lasts two to threeyears and has biostimulatory properties that promote new collagen formation.Finally, usually the same day that I do the filler injections, I treat the areawith either a Fraxel (Solta Medical) or Enlighten Picosecond (Cutera) laser toremove brown spots, stimulate epidermal turnover and even skin tone,” he says.
Treatment Options
Dr. Luposuccessfully used Sculptra to rejuvenate hands until encountering a “severedelayed nodule” in 2007. “Since then I have used Radiesse,” she says. “For agespots, I like Fraxel Dual (thulium wavelength) best. I no longer dosclerotherapy since Radiesse hides the veins too.”Dr.Torres uses Q-switched and picosecond lasers to treat brown spots. Two weeksbefore the laser treatment, he starts patients on topicals to preventpost-inflammatory hyperpigmentation. He prefers CaHA for volume loss because ofits rheological properties (High G) and duration