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In everyday life, the hands are often the focus of attention. Hands are usually inadvertently noticed as soon as you say hello. After the face, the hand is the body part that is uncovered as an essential part of our appearance, and is always out in the open. Due to this constant presence and constant exposure to environmental influences, the hands are also subject to constant change over the course of life. Aesthetic surgery of the face has been an established standard for years to slow down aging processes. However in these cases, a quick glance at the hands reveals a clear discrepancy between a youthful face (covered with make-up) and the hand.Continue reading
The ageing process is usually best recognised by the back of the hand. Aging hands always change in a typical way. The skin becomes thinner, the volume of the subcutaneous tissue decreases and age spots appear. Pigment changes can be treated comparatively easily by chemical peeling or laser treatment. There are more complex and elaborate procedures that permanently renew the volume, make wrinkles disappear and improve the overall skin quality in the long term. I will gladly discuss the most suitable method for you in a detailed consultation in my private clinic for plastic and aesthetic surgery in Berlin.
Duration of the operation: depending on the extent approx. 1-2 hours
Length of stay in the clinic: one day as an outpatient
Anesthesia: local anesthesia or twilight sleep
Follow-up treatment: 1 week of protection
Resumption of social activities: immediately
A young hand appears healthy at first glance, the skin is still very elastic smooth and spotless, even with maximum movement. The back of the hand’s appearance is one of a soft, rosy fullness that hides the underlying tendons and skin vessels well.
From about the age of 40, however, a loss of skin elasticity and the appearance of ‘age spots’ are frequently observed. Due to environmental influences such as UV radiation, excessive cigarette consumption or regular contact with chemicals, the skin can even be considerably prematurely aged at this point. In addition, the structure of the skin and subcutaneous tissue usually appears very thin in old age, also known as ‘paper skin’, and the circulation of blood and lymph is reduced. As a result of the loss of volume, clearly visible wrinkles appear, the vein pattern becomes more prominent and the finger bones can show through the aged skin. The age-related changes in the deeper layers of the skin of the hand (loss of volume) are, according to the current state of scientific knowledge, not due to environmental influences but are genetically determined.
I often see an obvious deviation between the quality of the skin on the hand and the rest of the skin in my private clinic for plastic and aesthetic surgery in Berlin. Despite regular skin care with various creams or previous therapy attempts with various peelings, the aging process of the skin on the hand seems to be difficult to stop. However, replenishing the lost volume of the subcutis has proven to be particularly effective. There are two procedures to be mentioned here, both of which achieve very good results: on the one hand, volume build-up with hyaluronic acid and on the other hand with the patient’s own fat. In some rare cases, in the case of an unusually large excess of skin, simply filling the volume deficit is not sufficient. In these cases, the therapy should be supplemented by a tightening operation of the hand via a small skin incision.
Look at Barbara Claudia Engel’s hand rejuvenation. The Bild team was live on site and filmed the surgery of Prof. Dr. Nektarios Sinis.