Objectives: Introduction – The use of dermal-filler has now come into its own also in the treatment of hypo-atrophy in the dorsal region of the hands.
Its particular the use of the use of Advanced Dermal Filler are able to produce a light inflammatory reaction with subsequent stimulation and production of neo-collagenesis, type I and type III.with better outcomes in term of results and long lasting results.
Introduction: Introduction – The use of bio-active dermal-filler has now come into its own also in the treatment of hypo-atrophy in the dorsal region of the hands.
Its particular the use of these substances able to produce a light inflammatory reaction with subsequent stimulation and production of neocollagenesis, type I and type III.
Materials / method: Methods and Materials– Calcium Hidroxylapatite or Polycaprolactone in an aqueous gel was injected in a suitable ambulatory environment, using multiple injections 4-6, were done, with the additional use of lidocaine 0,5 % in pomphus or bolus-like injection points: for creating appropriate layering and for pain management. Furthermore we are using 27 G cannula applications.
Post-treatment: dressing, white cotton glove for 3 h, home auto-massage by hand using cream on the injected site to ensure a uniform distribution.
Results: Results – The treatment reveals a reinforcement of the sub-dermal matrix of the dorsal region of the hands provoking an immediate improvement, with consequent stretching/thickening of the overlying cutaneous tissue and then a secondary increase, in the following 2-3 months, of the autologous synthesis of new collagen with the improvement of the texture and therefore the harmony of the entire hand.
The effect of the injection of the substance is nevertheless temporary: it has a variable duration of 12-18 months, the result depend from the substance used, the amount, the age of the patient.
Conclusion: Conclusions – These procedures are simple and safe, it do not interrupt the patient’s normal social life or working activity, and the results are highly satisfying, even with a single application, plus it’s repeatable.
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