Dr. De Fazio Plastic Surgeon :: Procedures :: Body :: Lipofilling of the hands

Lipofilling of the hands


The appearance of the hands shows the real age of a person, more than the face and other parts of the body. The skin on the back of the hands, being very soft and sensitive, is strongly affected by aging. It gets thinner and age spots appear, due to actinic or seborrheic keratosis; at the same time, the underlying bones become more and more visible and sticking out. Hand rejuvenation procedures have been developed aiming to the correction of these imperfections, improving their appearance, which will be more in harmony with the rest of the body, still in very good shape.

1 hour
1 day / day surgery
7 days to resume manual activities
The procedure

Considering that the imperfections caused by aging of the hands are several and of various nature, the techniques used are also different, each of them having specific indications and limitations. The treatment of dark blemishes (dark spots on the skin) can be performed using a chemical lightening lotion, like hydroquinone or diidrochinone, as well as different kinds of laser treatments or chemical peeling.

To correct the skinny appearance of the hands, as well as the loss of skin thickness, lipofilling is a good solution (or lipostructure, a technological development of lipofilling). The procedure consists of harvesting a small quantity of adipose tissue (fat) from the hips or the abdomen, as for a small liposuction and, then, grafting it to the back of the hands. Local anesthesia is required. Even though the result is immediately visible, a 25% reabsorption occurs and, as a consequence, the back of the hands is normally overcorrected in order to get a permanent result and the desired volume.

Possible complications

Possible complications connected to the procedure are limited.
Infection. It can be considered as the most common complication and it can occur in the postoperative period. This complication is easily treated with antibiotics; it can make the hospitalization longer and affect the wounds healing.
Wound dehiscence. It is a surgical complication in which a wound breaks open in some parts along the surgical suture, due to excessive tension on the wound edges caused by straining or to intercurrent infections. This complication affects the final appearance of the scar, but it can be corrected with a minor revision surgery with local anesthesia, to be performed not earlier than 6 months after the lipofilling procedure.
Asymmetry. When occurring, this complication could require a revision surgery after 6 months. It will be with local anesthesia and the surgeon is normally not charging for his fee.