Modern Methods for Hand Rejuvenation. Own Scientific and Clinical Experience of Injection Procedures
Year: 2026
Type: article
Abstract: Background. Treatment of the markers of aging of the hand requires the use of multidirectional methods that ensure the improvement of skin quality, replenishment of soft tissue volume, elimination of signs of photodamage. Modern injection and hardware methods aimed at the prevention and treatment of age-related skin changes are widely represented. However, research papers devoted to the effectiveness and safety of methods of correction of the back of the hand, especially long-term results, are not enough in the scientific literature. Purpose. To present a brief overview of the most frequently used minimally invasive hand rejuvenation procedures, filler injections, and their associated complications. Materials and methods. An analysis of 29 selected publications from a literature review on hand ageing and rejuvenation, as well as device-based and injectable procedures for the dorsum of the hands, was conducted. The authors' own scientific and clinical experience in correcting age-related changes of the dorsal hands is presented. Results. Hand ageing markers and hand ageing morphotypes are presented, taking into account anatomical, constitutional, and age-related characteristics. The successful scientific and clinical experience of foreign experts using device-based and injectable methods is provided, along with a summary of the authors' own studies with illustrated results (from 3 to 12 months) prove the high efficacy of filler injections based on hyaluronic acid (HA), polylactic acid, and calcium hydroxylapatite. The risks of rare late complications (product visibility/contouring, granulomas) and post-procedure adverse events (AEs: edema, erythema, contouring, ecchymosis) are described. The authors present safe cannula and needle techniques, recommending the subcutaneous layer (2–3 mm above the dorsal superficial fascia) for filler injection, and dermal or subdermal layers (1–3 mm) for skinboosters. Recommended dosages are limited to no more than 1.0 mL per hand per procedure, alongside structured treatment courses and combined protocols. Conclusion. Despite the limited number of studies concerning hand rejuvenation, injections of fillers and skinboosters based on HA, calcium hydroxylapatite, and polylactic acid represent effective and safe methods for correcting age-related changes in the hands.
Authors: E.I. Gubanova, P.A. Starovatova
Language: English
Subfield: Dermatology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7203609512