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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,
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22 MAY/JUNE 2017
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Med Esthetics
Restylane Silk
for Hands
A new HA fi ller offers aging hands lasting volume replacement, better moisture retention
and improved skin quality.