Journal
AESTHETIC PLASTIC SURGERY
Volume 46, Issue 1, Pages 437-449Publisher
SPRINGER
DOI: 10.1007/s00266-021-02519-6
Keywords
Hand rejuvenation; Esthetic; Plastic surgery; Hand
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Hand rejuvenation is a safe and effective surgical intervention for reducing dorsal hand atrophy, commonly using Radiesse and fat grafting with minimal complications. Further studies are needed to compare the long-term outcomes of different interventions.
Background Hand rejuvenation is an increasingly popular cosmetic procedure for hand atrophy and aging. The objective of this study is to systematically evaluate the techniques, outcomes, and complications of surgical hand rejuvenation. Methods A systematic review was undertaken using a computerized search. Publication descriptors, methodological details, techniques, outcomes, and complications were extracted. Articles were assessed using the MINORS and Cochrane instruments. Results Thirty-one studies were included. Most studies were published in the last five years (51.6 percent) and were prospective case series (35.5 percent). The mean age of patients was 56 (range 21-82), while the mean sample size was 47 (range 10-220). The most commonly examined interventions were Radiesse (32.2 percent) and fat grafting (32.2 percent). Major complications were not observed in any study, while minor complications such as edema and pain were temporary. Injection techniques varied, however, the proximal to distal fanning technique and using a cannula was associated with a lower risk of complications. Both Radiesse and fat grafting had robust long-term esthetic outcomes. Conclusions Hand rejuvenation is a safe and efficacious surgical intervention to reduce dorsal hand atrophy. Further studies are needed to compare the long-term outcomes of common interventions.
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