About Hand Rejuvenation
The hands are often a telltale sign of age and as the years go by, the hands can begin to lose their youthful fullness, tautness, and clear complexion. As a result, the hands can appear thin or bony and the skin accumulates age or sun spots in addition to fine lines and wrinkles. At Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA, skilled plastic surgeon Dr. Phillip Chang offers hand rejuvenation to correct these issues. Hand rejuvenation involves both volume and skin rejuvenation. The volume replacement can be addressed by a fat transfer or any number of injectable fillers including Voluma, Sculptra, or Radiesse. A fat transfer, however, can provide a more long-lasting and cost-effective solution particularly if other areas are also being addressed. Skin irregularities are improved by a combination of the ProFractional laser which provides needed collagen for taut skin, and the Forever Young BBL which diminishes brown pigmentation. Call our Leesburg, VA office today to see if hand rejuvenation is right for you.
Types of Hand Rejuvenation
Injectable fillers can be used to replace the lost volume in the back of the hand, which increases the visibility of the veins and tendons. Volume replacement can be performed by either injectable fillers or a fat transfer. Injectable fillers have been shown to be effective in replacing volume in the back of the hand. Dr. Chang often recommends Juvederm, Radiesse, and Sculptra because of their long-lasting results.
Injectable Fat Transfer
A fat transfer is an excellent option to replace the lost volume in the back of the hand. The fat is taken by liposuction from the abdomen or waist, processed, and transferred directly into the hand via a sterile syringe. The fat is a living filler so it has the potential for lasting longer than commercial injectable fillers. Further, it is the most natural product as you are the source.
Forever Young BBL Laser
The Forever Young BBL laser system is the most popular laser used at our practice. The broadband light treatment typically results in a 50% improvement with each session, and it is the only laser proven to rejuvenate cellular DNA. BBL is also very helpful in removing the brown and red pigmentation changes of the hand, leading to a more youthful and radiant appearance.
ProFractional Laser Peel
Volume replacement alone is not always enough to reduce the fine lines and wrinkles seen on the hand. The ProFractional laser peel, which is commonly used on the face to reduce fine lines and wrinkles, can be used on the hands along with the Forever Young BBL. This process also promotes collagen production.
"It's been over a year and a half since I've been going to Dr. Chang's office, I drive an hour just to get here (although I know some drive three hours or more to see him!). I did a lot of research to find a board certified plastic surgeon in the area with a solid and reputable background.Throughout my visits, he's been incredibly kind and taken the time to listen to my never ending list of questions. There are a lot of doctors that push services that you don't need just for money but he'll be transparent to tell you exactly what he feels you'll need in order to gain improvement and will work with you to see what could be the best outcome. You can also text or email him directly after any invasive procedures if you have any questions/concerns instead of waiting for a follow up. I also don't want to forget the rest of the staff - everyone from the receptionists and nurses have been very gracious, patient and accommodating to my needs but I also want to mention Melanie whose an RN at Dr. Chang's office. She has superb bed side skills and truly makes you feel at ease when you're speaking with her. I've probably annoyed her with a million questions and emails but she's still been stellar. I highly recommend her for any non-surgical procedures. They have a few videos on their website and youtube as well so you have an idea of who they are and the procedures they perform if you want to get a better idea yourself but I definitely recommend them, they're awesome."- M. / Google / Jul 24, 2018
"Aesthetica is indeed one of the best cosmetic surgery and laser centers in Loudoun. Dr. Chang is a born artist. Highly recommended!"- S.G. / Facebook / Aug 07, 2019
"I highly recommend Dr. Chang and the staff at Aesthetica. The positive, caring staff, including nurse Katy, were outstanding every step of the way, as are the results Dr. Chang delivered. I am 100 percent satisfied with my procedure and will return. Choosing Aesthetica was a wonderful decision. Don’t waste your time going anywhere else!"- L. / Google / Aug 02, 2019
"This past Tuesday I had a Botox treatment with Melanie. I can’t say enough about how knowledgeable and caring she was throughout the procedure. The way she communicated put me at ease and gave me comfort. She has a natural ability to make patients feel safe and confident. This experience surpassed my expectations and I fully plan on recommending her to all of my friends. Aesthetica is a top notch Cosmetic Surgery & Laser Center run by Dr. Chang who is always friendly, caring and knows how to help a woman achieve her cosmetic goals."- T.R. / Facebook / Jul 18, 2019
"My name is Carmen, and I live in Lucketts, Virginia. Back in May of 2016 I had an accident with our dog, a feisty Jack Russell Terrier. The dog leaped up and bit me on the center of my upper lip, causing the skin to rip open. I was very upset and scared, and I was also concerned that my face would be permanently disfigured for the rest of my life.My husband John took me that Sunday afternoon to the Emergency room of Loudoun Hospital. After waiting one hour, the nurse cleaned my lip and gave me a tetanus injection. Then they told me there was no surgeon that evening, so a nurse practitioner would do the stitches on my lip. I was very worried, so I asked for a plastic surgeon, and they said that was impossible, because the only one available was out of the office that day. However, they said they would try to reach him. They did call him, and Dr. PHILLIP CHANG came to treat me after an hour. I am grateful for life to him, not only because he really is a magician the way that he stitched me, also the fact that he offered to come to the hospital on Sunday on his weekend evening without even knowing me.He treated me with kindness and great professionalism and care. He calmed my nerves and was all about optimism from the start. He assured me that, by using a proper method, nearly all of my injury would not be visible because of his experience in treating similar cases. He sewed the wound carefully, and then treated me so well that there is almost no evidence of the injury.I highly recommend DR. PHILLIP CHANG for such an injury. There are not enough words I can find to express my gratitude to him. That’s the reason I am writing my story. HE IS THE BEST.-Carmen Lucketts, VirginiaSent from my iPad"- C.D. / Google / Jun 19, 2019
You are a good candidate for hand rejuvenation if you are in overall good health, at a stable weight, are a nonsmoker, and concerned about:
- The thin or bony look of your hands
- The appearance of veins and tendons
- Fine lines and wrinkles
- Sun spots or hyperpigmentation
Hand rejuvenation uses a combination of different procedures including injectable fillers, a fat transfer, and lasers to rejuvenation your hands. The procedures are customized to your individual needs during your initial consultation with Dr. Chang.
A numbing cream is first applied to the skin and the injectable filler is then injected into the back of your hand and fingers. Typically, two syringes of product (Juvéderm, Radiesse, or Sculptra) is required for each hand. Treatment takes about ten minutes.
With a fat transfer, fat is first removed via liposuction from the abdomen or hips and then purified. The harvesting portion is done under local anesthesia. Once the fat is processed, it is injected into the back of the hand through a 2mm incision at the base of the wrist.
A numbing cream can be applied to the hands but the BBL machine is equipped with a cooling device to promote optimal comfort. The handheld laser is then gently glided along the treatment area to target sun spots and hyperpigmentation. The ProFractional laser process is almost identical, but this laser specifically addresses fine lines and wrinkles for a taut and youthful contour.
What to Expect
A hand rejuvenation is considered an outpatient procedure. Many patients are able to return to their usual activities but fat transfer patients should avoid strenuous exercise for 7 – 10 days to allow for proper healing. Redness, swelling, bruising, and/or itching are normal symptoms but these should subside in a few days. Any discomfort can be eased with pain medication and a cold compress can help reduce swelling. Direct sunlight should also be avoided for 1 – 2 days following a laser rejuvenation treatment for optimal results. If you have any questions or concerns regarding your recovery process, please call our office.
Frequently Asked Questions
How much does a hand rejuvenation cost?
The cost of a hand rejuvenation depends on the type of method used for your specific condition. The price of injectable fillers, fat transfer, and laser treatments vary. Every patient has a unique treatment plan and can combine several of these procedures to attain the results they desire. An estimated figure can be discussed during your initial consultation.
Will I need more than one treatment?
Although a hand rejuvenation can provide stunning results and even help reverse the signs of aging, it will not stop the aging process. Multiple treatments may be necessary to maintain your results. In general, Juvéderm will last about one year, Radiesse and Sculptra can last 2 – 3 years, and a fat transfer may last for several years. Most patients will benefit from a Forever Young BBL maintenance treatment every 1 – 2 years.
What are the benefits of a fat transfer compared to injectable fillers like Juvéderm, Voluma, or Sculptra?
The most significant benefit of receiving an injectable fat transfer is that it’s your own natural product. It is part of you and when it is transferred to its new location, it develops a blood supply which allows it to live and last for years. The second most significant benefit is that you have unlimited supply since you are the donor. Fat is charged by the procedure and not by the syringe. An unlimited fat donor supply implies that your procedure is significantly more cost effective.
How long does a fat transfer last?
The fat that is transferred is made up of living cells. This explains why fat can last for several years. Fat is the longest-lasting method for volume replacement. However, just like the natural body fat in the face, the fat cells will shrink with age and also be affected by gravity. Many patients will elect to have a second fat transfer procedure in 3 – 5 years.
How much fat is needed?
Most patients only need about 1 – 2 tablespoons of fat harvested from another area of their body to restore the youthful appearance of their hands. The entire process typically takes about 30 minutes.
Have the years made your hands unrecognizable? A hand rejuvenation can help restore the youthful contour and complexion of your skin for a refreshed glow. Dr. Chang can go over all your options in detail during your initial consult to discuss which method is best for you and your cosmetic goals. Don't hesitate to call and treat yourself to the cosmetic care you deserve and desire. We look forward to hearing from you.