Rejuvenation of the hand: fat injection combined with TCA peel

Abstract

Often, the appearance of the hands is a telltale sign of a patient's true age. The skin on the dorsum of the hand is both mobile and delicate; with age, it becomes thin and transparent. The aging process also causes fine wrinkles and irregular pigmentation or dark spots, and actinic and seborrheic keratosis may also be noted.1–4 To obtain a more youthful appearance of the hand, we recommend the injection of autologous fat followed by the cutaneous application of trichloroacetic acid (TCA). Fat may easily be harvested from the abdomen, flank, or thigh. The donor site is selected according to the preference of the patient. Tumescent solution is injected until the skin becomes tense. A Tulip syringe with a 2-to 3-mm cannula is used to harvest 15 to 20 …