title: Combination hand rejuvenation procedures.
abstract: Although the hands age at the same rate as the face, the aging process differs and requires a combination treatment approach for optimal rejuvenation. Photoaging causes epidermal changes such as lentigines, actinic keratoses, fine wrinkles, and crepe-like textural change. Thinning of the dermis and subcutaneous fat occurs as a result of both ultraviolet light exposure and intrinsic aging. This process can lead to a skeletal appearance of the hands, with prominent veins and bulging tendons. The combination approach addresses all of these issues, employing lasers, intense pulsed light devices, fractional devices, fillers, peels, vein sclerotherapy, and an effective at-home skin care program as indicated for individual needs and concerns.
authors.affiliation: Dermatology at the David Geffen - UCLA School of Medicine, USA. melissacary@shambanmd.com
authors.forename: Ava T
authors.initials: AT
authors.lastname: Shamban
mesh_terms: D000375:Aging; D002424:Caustics / Q000627:therapeutic use; D003131:Combined Modality Therapy / Q000379:methods; D020405:Dermis / Q000502:physiology / Q000503:physiopathology; D004817:Epidermis / Q000502:physiology / Q000503:physiopathology; D005260:Female; D006016:Glycolates / Q000627:therapeutic use; D006225:Hand; D006801:Humans; D006820:Hyaluronic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D007641:Keratolytic Agents / Q000627:therapeutic use; D019344:Lactic Acid / Q000627:therapeutic use; D053685:Laser Therapy; D008488:Medical Illustration; D008875:Middle Aged; D010778:Photochemotherapy; D011091:Polyesters; D011108:Polymers / Q000627:therapeutic use; D012060:Rejuvenation; D015595:Skin Aging / Q000502:physiology*; D012871:Skin Diseases / Q000628:therapy*; D014212:Tretinoin / Q000627:therapeutic use; D014238:Trichloroacetic Acid / Q000627:therapeutic use
chemical_list: D002424:Caustics; D006016:Glycolates; D007641:Keratolytic Agents; D011091:Polyesters; D011108:Polymers; C031149:glycolic acid; D019344:Lactic Acid; C033616:poly(lactide); D014212:Tretinoin; D014238:Trichloroacetic Acid; D006820:Hyaluronic Acid; C445361:Restylane