Hand rejuvenation procedures can help restore hands to a more youthful appearance using non-invasive or minimally invasive medical techniques. One such treatment is the *PCL-based collagen stimulator filler (please read disclaimer) – a procedure that gradually renews aged skin to reduce loose skin, deep folds and wrinkles. Written by Dr Gerhard van Niekerk…
It is a well-known fact that your true age is revealed by the appearance of your hands and neck. Beautiful hands depict sophistication, elegance, care and prosperity. This has driven the nail care business to a multi-million-rand industry.
We use our hands for social interaction, expression whilst speaking, as well as to work, carry and clean. The bad news is that since our hands are the most exposed – and difficult to cover – part of the body, it is extremely susceptible to UV radiation. Yet despite this, we still neglect to apply sunscreen protection on our hands.
Ageing of the hands (similar to the face) is a multi-factorial sequence of events. Almost all the anatomical structures contribute to the end result of chrono-ageing. Skin, subdermal fat, muscle and blood vessels are involved. Volume loss in hands causes hollows between the tendons, an increase in visibility of the superficial blood vessels and an irregular surface of the dorsum of the hand (ultimately causing the skin to lose its tone, radiance and texture. Sun exposure also contributes to pigmentation and decreased elasticity, while co-morbidities like arthritis causes irregular joints in the hands and fingers.
Restoring ageing hands
For those looking to increase the volume and skin quality of their hands in a subtle and natural way, the use of collagen *biostimulator fillers may just be the ideal treatment.
How does it work?
The biostimulator is a collagen-stimulating filler that consists of 70% aqueous carrier gel (CMC – Carboxy Methyl Cellulose) and 30% synthetic microspheres (PCL – Polycaprolactone). The gel creates an immediate filling effect, while the microspheres stimulate the body’s own collagen production (known as collagen neogenesis).
The FDA (American Food and Drug Administration) has approved both compounds, CMC and PCL, as “safe to use” in humans. This PCL-based biostimulator also has an approved CE marking (European Conformity) and has been available in the aesthetic market since 2009.
Furthermore, PCL is a biodegradable and bio-absorbable soft polymer (also widely used in the medical field) and is safe to use in multiple CE and FDA approved products.
Results and tolerability
Although immediate improvement is achieved due to the volumisation of the hollows, the true result will only be seen in 6 – 8 months when the collagen neogenesis has taken full effect. This stimulation of new collagen formation, due to the PCL release, gradually increases over time.
The biostimulator is injected sub-dermally with a cannula (22 G – 25 G, 50mm – 90mm) from a small entry hole in the dorsum of the hand after the local anaesthetic has been administered. Treated skin surfaces are thoroughly cleaned pre-and post-procedure. After application of antibiotic ointment on the entry holes, the hands are softly massaged to ensure even distribution of the product.
In most cases, a 1 ml syringe of biostimulator per hand will be sufficient to achieve beautiful, revolumised and rejuvenated hands.
Aftercare consists of ice compression; wound care on entry holes and avoidance of hot water, sauna, Haman and swimming on the day of the procedure.
Patients that present with any of the following should not be treated:
- Autoimmune disease
- Pregnancy / breastfeeding
- Use of steroids
- Uncontrolled diabetes
- Metabolic syndrome
- Any signs of infection in the treatment area
- Active herpes
- Coagulation/bleeding disorders.
In my practice, the PCL-based biostimulator is a favourite in my basket of treatments due to the aesthetic results of restored volume, redefined contours and reduced wrinkles that are immediately achieved. Its positive effect on skin quality is an added benefit.
This article was commissioned by Genop Healthcare South Africa. Content is provided by Dr Gerhard van Niekerk, which is based on his professional experience and opinions on said treatment and product.
Due to regulations in South Africa, dermal fillers are classified as a medical device. We are therefore not able to publish the name of specific brands.
The particular filler range discussed in this article is distributed by Genop Healthcare South Africa www.genop.co.za. Please ask your doctor for more information.
Written by Dr Gerhard van Niekerk
- General practitioner with a special interest in aesthetic and anti-ageing medicine
- Founder of Dr Gerhard van Niekerk Medical Aesthetic Clinic drgerhardvanniekerk.com
- Local and international trainer and presenter
- Executive member of AAMSSA
A2 Disclaimer: This article is published for information purposes only, nor should it be regarded as a replacement for sound medical advice.
This article was written by Dr Gerhard van Niekerk and edited by the A2 team EXCLUSIVELY for the A2 Aesthetic & Anti-Ageing Magazine Autumn 2021 Edition (Issue 36 – Mar 2021 to Jun 2021).
A2 Magazine prints only four magazines each year – reporting seasonally on everything you need and want to know about aesthetics, anti-ageing, integrative medicine, quality and medical skincare, cosmetic dentistry and cosmetic surgery in South Africa – where to go, who to see, what to expect, something new and so much more! Never miss an edition – click here for more info about where you can buy the print and/or digital copy of A2 Magazine (including back copies).
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