That’s why the No. 1 professional hand care treatment to date is medical fillers, those same wrinkle-filling injections used on the face. “However, unlike the face, where you’re filling a line, when you treat the hands you’re filling space, adding volume, and putting back some of the cushion under the skin that has been lost through the years,” says Goldberg.
Among the most popular fillers are Radiuses, Sculpture, Per lane, and Juvederm Ultra Plus. “You’re looking for thicker fillers with a much heavier consistency than what you would use for lines on the face, such as Restylane,” says Marmur.
Once injected, Goldberg says, the filler is massaged across the back of the hand and “fanned out” to plump up and fill in the entire area. The treatment takes less than 20 minutes, and results are visible in a couple of weeks.
Initially, results can last from 1 to 2 years, longer than in the face, say experts, because the back of the hand has fewer muscles and less muscle activity capable of breaking down the filler. Buford says there is also evidence the injections stimulate the body’s own production of collagen and elastin, so as time goes on you may need less filler less often to maintain the youthful look.
The Risks of Medical Fillers: Buford cautions about a theoretical risk of tiny lumps of filler and skin that form under the skin and that require surgery to remove. So far, no cases have been reported. Also, African-Americans or others who may have a tendency toward the formation of scar tissue or “keloids” should use fillers only under the care of someone experienced in treating people of color, says Buford.
The Cost of Medical Fillers: Depending on how much you need (men usually require three injections per hand, women about two), the cost can run from $1,000 to $6,000 per pair.