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Long-Term Effectiveness and Safety of Small Gel Particle Hyaluronic Acid for Hand Rejuvenation

Authors


  • Medicis Aesthetics Inc. (Scottsdale, AZ) funded this study.

Address correspondence and reprint requests to: Fredric S. Brandt, MD, Dermatology Research Institute, LLC, 4425 Ponce de Leon Blvd., Suite 200, Coral Gables, FL 33146, or e-mail: dermbrandt@aol.com

Abstract

Background

Fillers to reverse the effects of fat atrophy can help restore the hands' youthful appearance.

Objective

To evaluate the effectiveness and safety of small gel particle hyaluronic acid (SGP-HA) for hand rejuvenation through 1 year.

Materials and Methods

A prospective open-label study recruited adults with moderate to severe vascular, bony, and tendon prominence. After a topical anesthetic was applied, SGP-HA (maximum dose of 4.0 mL) was injected into the dorsum using a threading technique and distributed by massage.

Results

There were 16 patients with a mean ± SD age of 60.1 ± 5.3. Two weeks after treatment, vascular, tendon, and bony prominence and skin turgor were improved by 60.9%, 65.2%, 73.7%, and 26.3%, respectively. Substantial or complete global aesthetic improvement was rated in 75% of patients by investigators and in 56% by self-report; 81% of patients were satisfied or very satisfied. Five needed a touch-up (maximum 1.0 mL/hand). Improvements were largely maintained at 6 months, with 85% patient satisfaction, and assessments approached pretreatment levels at 1 year, with 50% patient satisfaction. One patient reported itching on one hand, which was judged to be unrelated to treatment.

Conclusion

SGP-HA produced lasting improvements in aging hands and was safe and well tolerated.

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