Hand Rejuvenescence by Fat Filling

Aboudib, José Horácio; Castro, Cláudio Cardoso de; Gradel, José

doi:10.1097/00000637-199228060-00011

Cited by 12 publications

(12 citation statements)

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“…Because the hand lacks efficient deep venous drainage, the remaining veins will likely engorge over time. Fat injections to augment low-volume areas and soften the outline of deeper structures seem to be very promising [6,9,10,16,17]; however, since this is invasive therapy, it has led to some teams testing other fillers such as collagen or hyaluronic acid [15]. Hyaluronic acid is a glycosaminoglycan found in epithelial and connective tissue.…”

Section: Discussionmentioning

confidence: 99%

Nonanimal Stabilized Hyaluronic Acid for Tissue Augmentation of the Dorsal Hands: A Prospective Study on 38 Patients

et al. 2012

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Background Often ignored, hands are one of the most telltale signs of aging. This prospective study was initiated to evaluate the effect of subcutaneous hyaluronic acid (HA) injections in aging hands, with special attention to complications and long-term outcomes. Methods Between January 2010 and December 2010, a total of 38 patients with skin phototypes II-IV and between 58 and 76 years old were treated with HA injection for aging hands. The quantity of injection never exceeded 1.0-1.5 ml HA per hand. A clinical follow-up was performed at 2 weeks, 4 weeks, 3 months, and 6 months after injection. Complications were reviewed for the whole series. At the first follow-up, 2 weeks after the procedure, ultrasound was carried out to determine if additional filling material was required. At each follow-up, patients were asked to fill out a satisfaction questionnaire. Results Nine patients developed slight ecchymosis that disappeared after 1 week. No other complications were seen in the series. Pain during the injection and discomfort after the procedure were minimal. At the 2-week follow-up, after ultrasound control, nine patients received a complementary injection. At each follow-up, overall patient satisfaction was high and was validated by clearance of rhytids, veins, bony prominences, and dermal and subcutaneous atrophy. Conclusion Skin revitalization with injectable HA can improve the clinical appearance of the back of the hands. However, this therapy requires knowledge of the possible complications and their remediation as well as knowledge and respect of injected doses. Moreover, despite excellent results at each follow-up, the results of our series are not as good after 6 months, and a longer follow-up would be needed to determine if this procedure provides long-lasting benefit.

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Section: Discussionmentioning

confidence: 99%

Nonanimal Stabilized Hyaluronic Acid for Tissue Augmentation of the Dorsal Hands: A Prospective Study on 38 Patients

et al. 2012

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“…Another variable of unknown importance in fat harvesting remains the negative impact of air exposure (Kaufman et al, 2007). Despite its widespread mention, there is a paucity of scientific data quantifying the effect of air exposure on adipocyte viability (Aboudib et al, 1992). Techniques of fat processing range from drying fat on Telfa Rolls (high air exposure), to completely closed systems employing intravenous tubing, three way stopcocks and IV bags for collection.…”

Section: Fat Harvestingmentioning

confidence: 99%

Autologous Fat Transplantation – A Paradigm Shift in Breast Reconstruction

Vecchio¹,

Fichadia²

2012

Breast Reconstruction - Current Techniques

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“…Autologe Fettinjektionen sind in den letzten 20 Jahren zum Mittel der Wahl geworden [1,2,5,6]. Trotz umstrittener Langzeiteffekte stellt Fett ein beliebtes Mittel dar, da Fett gesellschaftlich verpönt ist und die meisten Patienten über eine Fettreduktion froh sind.…”

Section: Fettinjektionenunclassified

“…Neben der intradermalen Injektion, die wegen des revitalisierenden Effekts nur für feine Falten geeignet ist, kommt auch die subdermale Injektion zur Anwendung. Hierbei soll eine gleichmäßig dicke Subkutanschicht geschaffen werden, die prominente Venen und Sehnen verbirgt, ohne den Handrü-cken balloniert erscheinen zu lassen [1,6]. Ähnlich der Eigenfettinjektion in anderen Arealen ist besonders die Fettprä-paration ausschlaggebend [1,2,5].…”

Section: Fettinjektionenunclassified

“…Hierbei soll eine gleichmäßig dicke Subkutanschicht geschaffen werden, die prominente Venen und Sehnen verbirgt, ohne den Handrü-cken balloniert erscheinen zu lassen [1,6]. Ähnlich der Eigenfettinjektion in anderen Arealen ist besonders die Fettprä-paration ausschlaggebend [1,2,5]. Da von Resorptionsraten um 50% auszugehen ist, sind wiederholte Injektionen notwendig, um zufriedenstellende Langzeitresultate zu erzielen [1,5].…”

Section: Fettinjektionenunclassified

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Alterung und ideale Ästhetik der Hand

Jakubietz¹,

Grünert²,

Kloss³

et al. 2009

Hautarzt

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The appearance of the hand is clearly secondary to its function. Nonetheless, aging changes on the hands are of considerable importance to many patients. Although rejuvenation of the hand has attracted increased interest in plastic surgery recently, the dermatologists have dealt with this problem for a longer time. Successful rejuvenation requires thorough analysis of the underlying pathophysiology. Hand aging is characterized by dermal and subcutaneous volume loss resulting wrinkle formation. Aging is also associated with increased visibility of tendons and veins as well as age spots and precancerous lesions. Hand rejuvenation aims at successfully reversing this three-dimensional process. The majority of treatment options address only partial aspects of the aging process. Topical treatments are the mainstay of therapy as these changes are most obvious. As patients will mainly seek advice from dermatologist, this field requires increased attention.

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Hand Rejuvenescence by Fat Filling

Cited by 12 publications

References 0 publications

Nonanimal Stabilized Hyaluronic Acid for Tissue Augmentation of the Dorsal Hands: A Prospective Study on 38 Patients

Nonanimal Stabilized Hyaluronic Acid for Tissue Augmentation of the Dorsal Hands: A Prospective Study on 38 Patients

Autologous Fat Transplantation – A Paradigm Shift in Breast Reconstruction

Alterung und ideale Ästhetik der Hand

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