MAY-JUN 2017

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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Page 23 of 67

DETAILS | By Bradley S. Bloom, MD After the age of 40, many women's hands lose volume resulting in prominence of the underlying vessels, tendons and bone. In addition, the skin on the hands can become dry and take on a crepey appearance, which further con- tributes to an aged look. Dermal fi llers have been successfully employed to im- prove the appearance of the aging dorsal hand. Now with Restylane Silk, a gentle hyaluronic acid (HA)-based fi ller from Galderma, used off label we can both volumize and hydrate aging hands thanks to the water ab sorbing abilities of the fi ller. In my practice, Skin Laser & Surgery Specialists of NY & NJ, we evaluated the safety, effi cacy and outcomes of Restylane Silk for photoaged volume loss of the hands. The study followed 25 healthy female volunteers (age 40 to 70 years) with photoaged thinning of the hands. Each patient received Restylane Silk injections to the dorsal aspect of one hand. Subjects were followed for six months. Their hands were evaluated at regular intervals according to a fi ve-point validated hand grading scale. INJECTION TECHNIQUE We administered small boluses of Restylane Silk—about fi ve per hand—using a 30-gauge needle. Prior to injection, © GETTY IMAGES 22 MAY/JUNE 2017 | Med Esthetics Restylane Silk for Hands A new HA fi ller offers aging hands lasting volume replacement, better moisture retention and improved skin quality.

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