Although the face and neck are the most common targets of anti-aging ad campaigns, the hands are actually one of the first areas of the body to reveal one’s true age. Decades of constant utilization and sun exposure can lead to wrinkling, discoloration, and increased visibility of the underlying veins and tendons. These natural signs of aging are often more pronounced on the hands, as they are not the beneficiaries of the skin care regimens the face and neck typically receive. Fortunately, advances in cosmetic medicine have led to the advent of an array of treatments that can erase these physical markers of time, helping you put your best foot hand forward!
Fat pockets in the hands are important to maintain skin tightness and camouflage the underlying internal structures. As we age, these beneficial fat reservoirs are depleted, resulting in the formation of deep wrinkles and the appearance of rope-like tendons and veins. Injectable fillers like Juvéderm Voluma and Restylane Lyft are volumizing agents that offset this age-induced loss of fat. The infusion of fat equivalents into your hands results in a tautness that smooths out heavy furrows and conceals unwanted anatomic prominences
The Fraxel DUAL 1550/1927 laser is a two-in-one treatment that delivers columns of energy into both the superficial and deep layers of the skin. The 1927 nm energy waves selectively destroys pigmented cells in the superficial skin to improve the discoloration wrought by chronic sun exposure. The deep range of the 1550 nm energy waves stimulate the body’s natural healing process to produce new collagen, resulting in improved skin elasticity and tone. The combined effects of these two wavelengths holistically remodels the skin to produce hands that are free from fine wrinkles, sunspots, and scars.
Dr. Hooman Khorasani is a quadruple board-certified cosmetic surgeon who has spent over ten years helping patients banish unwanted signs of aging so that their outside appearance reflects their youthful spirit. This extensive experience coupled with Dr. Khorasani’s commitment to procedural perfection directly benefits each patient, as your individualized treatment plan is carefully customized to provide you with optimal cosmetic results.
To find out if injectable fillers or laser resurfacing can restore the youthfulness of your hands, visit Dr. Hooman Khorasani at our New York City practice. To request a consultation, text message us securely, or contact us at our Manhattan office by phone at 212-230-3378.
The most commonly used injectable fillers are composed of hyaluronic acid, a naturally occuring substance that attracts and stores water. The ability of hyaluronic acid to retain nearly one thousand times its weight in water is responsible for the dramatic volumization effects seen with these types of fillers. Specialized hyaluronic acid fillers like Juvéderm Voluma® and Restylane Lyft® are infused with additional proprietary compounds that stimulate the body’s production of collagen. The formation of new, healthy collagen helps maintain the volumizing effects of hyaluronic acid for up to two years following treatment. Consequently, Juvéderm Voluma and Restylane Lyft are uniquely suited to rejuvenate the hands, as these dense hyaluronic acid fillers provide substantial volume that is capable of withstanding daily wear and tear.
Although the term “fat pocket” is often associated with negative connotations, the body has numerous strategically placed reservoirs of fat that are essential to maintain the shape and lift of your most prominent features. As we age, these beneficial fat collections are slowly depleted and begin to migrate away from their designated areas. These changes are responsible for the loss of youthful contouring, the formation of deep wrinkles, and the appearance of underlying internal structures.
Hyaluronic acid fillers like Juvéderm Voluma and Restylane Lyft act as a synthetic fat capable of mitigating the age-induced changes to your organic fat pockets. Injection of these volumizing agents into the hands plumps the skin to diminish the appearance of heavy creases and conceal cord-like tendons and veins. The result? Smooth, uninterrupted skin that looks as young as you feel.
The correcting powers of hyaluronic acid fillers are not limited to the hands, as these injectable volumizers also effectively address signs of facial aging. Please visit our Facial Rejuvenation page to determine if these versatile fillers can help restore your youthful appearance from top-to-bottom.
During your initial consultation, Dr. Khorasani will thoroughly examine your hands to determine the most beneficial sites for volumization and the most appropriate injectable filler. The treatment areas will then be marked with a specialized surgical pen to ensure targeted filler application. Prior to injection of the filler, the surface of your hands will be numbed with a topical anesthetic cream for thirty minutes. Once the hands are sufficiently numbed, Dr. Khorasani will strategically inject the filler using a thin cannula (a blunt, hollow tube) via a single insertion point. Since the cannula is blunt, he can safely deposit the filler around the veins and tendons without causing any injury to them.
Injectable filler rejuvenation with Dr. Khorasani has an impressive track record of safety and efficacy, rendering this treatment one of our most popular anti-aging therapies. This non-surgical procedure is also a favorite amongst patients with busy professional and personal lives, as the injection of filler requires little to no downtime.
The problematic loss and migration of the beneficial fat pockets in the hands begins in the early thirties; consequently, injectable filler therapy is an excellent preventative treatment for young patients wanting to prevent the onset of aging. Patients that lift weights or regularly strength train often suffer from hands that “prematurely” age them, showing the underlying structures of the hands that are not traditionally seen until one is much older. Hyaluronic acid fillers in older patients can help revitalize depleted or displaced fat pads, improving the appearance of deep wrinkles and unwanted anatomic prominences seen in mature hands.
Please note that this volumizing procedure does not correct discoloration, fine lines, or scarring. Fraxel DUAL 1550/1927 is a laser-based treatment that is specially formulated to address these particular concerns. As such, many patients couple injectable filler rejuvenation with laser therapy to plump and resurface the hands simultaneously. Please view our Fraxel DUAL 1550/1927 section below to see if this laser device alone or in combination with injectable fillers can provide you with the youthful hands you desire.
Injections of hyaluronic acid provide instant volumization to the areas impacted by the loss of organic fat reservoirs. When inserted in the hands, these synthetic fat equivalents immediately tighten and lift the skin, resulting in the decreased visibility of deep wrinkles as well as prominent veins and tendons. That same day, you will walk out of our office with hands that appear years younger than when you first arrived. This rejuvenated appearance of your hands can be enjoyed for up to two years, as the collagen-stimulating properties of Juvéderm Voluma and Restylane Lyft prolong the volumizing effects of the initial treatment.
The thorough planning and subsequent topical numbing requires about forty-five minutes to complete. Precise injection of the filler requires an additional thirty minutes. In total, expect to be with us for approximately two hours on the day of treatment.
Other than safety, your comfort is our number one priority; therefore, we will numb the area prior to treatment using a topical numbing cream. Additionally, Juvéderm Voluma and Restylane Lyft are pre-packaged with a dose of lidocaine (a numbing agent) to ensure maximal comfort during the injection process. Consequently, you should not experience any pain during treatment; however, you may experience sensations of pressure and mild stinging.
Aside from its efficacy, patients love injectable filler treatments because they are associated with little to no downtime. As dictated by your personal comfort, you may resume your normal activities immediately after treatment. Mild swelling and bruising of the treatment areas may also occur after filler injection. These effects improve significantly within two to three days after the procedure and completely resolve within about a week.
Fraxel Dual 1550/1927 is an innovative laser therapy that combines the energy of short and long electromagnetic waves to comprehensively remodel the skin. The high-frequency 1550 nm waves penetrate the deep layer of the skin and stimulate the production of new, healthy collagen. Manufacturing fresh collagen restores elasticity, improves texture, and corrects scarring to infuse your skin with a youthful smoothness and tightness.
Low-frequency 1927 nm waves target the superficial skin, sending columns of laser energy to selectively destroy unwanted clusters of pigment. This precise elimination of pigmented cells wipes away patches of skin discoloration accumulated over years of sun exposure.
Both the 1927 nm and 1550 nm electromagnetic waves preserve pillars of healthy skin between the treated locations. These untouched areas serve as a scaffold to facilitate rapid healing with optimal cosmetic results.
Harnessing the power of high and low frequency electromagnetic waves allows this innovative laser therapy to improve the appearance of fine lines, enhance overall texture, diminish the visibility of scars, and eliminate discoloration of the skin. Correction of these tell-tale signs of aging produces smooth, even-toned hands that mirror your young spirit.
The correcting powers of Fraxel DUAL 1550/1927 are not limited to the hands, as this comprehensive laser therapy also effectively addresses signs of aging on the face, neck, and chest. Furthermore, the skin remodeling induced by the 1550 nm waves can help improve the appearance of unwanted scars located anywhere on the body. Please visit our Skin Resurfacing and Scar Revision pages to determine if this multi-functional treatment can help restore your youthful, scar-free appearance.
Prior to laser therapy, the surface of the hands will be numbed with a topical anesthetic cream to ensure maximal comfort. During treatment, we will provide you with special eye coverings to protect your retina from the electromagnetic waves. As the laser energy is administered in strokes to the target areas, you may feel a hot “prickly” sensation. A cooling device will supply a constant stream of cold air to mitigate the sensations of heat.
Since the beginning of his medical career, Dr. Khorasani has dedicated himself to mastering laser energy therapies to ensure each patient is provided with optimal aesthetic results. This expertise is used to craft an individualized therapy plan that accounts for your pre-existing skin condition and overall cosmetic goals. As such, we are able to seperate the texture improving powers and pigment correcting abilities of the 1550 nm and 1927 nm waves, respectively, to provide a tailored treatment that addresses your specific needs. However, we most often recommend combination 1550/1927 therapy to maximize your aesthetic results.
Ideal candidates for hand restoration with Fraxel DUAL 1550/1927 are those seeking to comprehensively resurface the skin to diminish the appearance of fine lines, scars, and sunspots. Patients with severe inflammatory skin disease or photosensitive conditions are not candidates for laser therapy. Additionally, patients who are currently pregnant or taking isotretinoin (Accutane) are unable to receive laser treatments.
The results of Fraxel DUAL 1550/1927 are progressive and additive, meaning that they improve over time and with multiple treatments. Subtle improvements in skin texture and color are first appreciated two weeks after treatment; however, the laser-induced production of collagen is a gradual process that requires several months to complete. Consequently, the maximal improvement in fine lines, scars, and discoloration may not be fully visible until six months after therapy.
Most patients will require two sessions spaced four to six weeks apart to achieve optimal results; however, the pay-off from these multiple treatments is highly advantageous, as the anti-aging effects of Fraxel DUAL 1550/1927 lasts for several years following completion of therapy.
The medical and cosmetic outcome of your procedure is Dr. Khorasani’s number one priority. Consequently, great care is taken to ensure your hands are sufficiently numbed with a topical anesthetic cream prior to initiating therapy. During the treatment itself, Dr. Khorasani carefully measures and applies each stroke of the laser energy to ensure smooth, even coverage. This meticulous process requires more time, but yields superior health and aesthetic results.
Overall, expect to be with us for approximately two hours on the day of treatment.
The preservation of healthy columns of skin surrounding the treatment areas lends itself to a recovery that is shorter in duration than other destructive lasers. Swelling and redness are expected after treatment. These effects are typically most pronounced for the first two to three days post-therapy and resolve within five to seven days. Most patients will also notice peeling or crusting of the treated skin. This too, however, usually lasts only five to seven days.
Before you leave our office, our highly skilled medical assistants will apply an ointment to moisturize the treated area. We will then verbally review with you detailed information regarding what to expect during your recovery and specific post-procedural instructions. Don't worry if you can't remember everything! We will provide you with a written copy of these instructions and are available at any time to answer any questions or concerns you may have.
Dr. Hooman Khorasani is quadruple board-certified in Dermatology, Cosmetic Surgery, Facial Cosmetic Surgery and Mohs micrographic surgery. Additionally he led the Division of Dermatologic and Cosmetic Surgery at Mount Sinai for over ten years. During that time, he has helped thousands of patients look and feel their best using the most effective and cutting-edge restorative treatments. Always in pursuit of perfection, Dr. Khorasani is constantly investigating, implementing, and mastering innovative therapies to provide you with optimal face and body rejuvenation.
Capitalizing on his internationally recognized proficiency in cosmetic medicine, Dr. Khorasani carefully crafts a therapy plan for each individual that adheres to the highest standards of medical care and is optimized to produce the greatest results possible. Personalization is infused into every aspect of our practice, from the treatment itself to our highly-skilled office personnel that are available 24/7 to answer any questions or concerns. Together as a team, we can erase the signs of aging so that your skin appears as young as you feel!
Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 212-230-3378. For more information about how to get in touch:
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