Galina SAVELYEVA 医师
皮肤科医师
Face your hands. Complications after hands rejuvenation. 3 clinical cases af acute urticaria/oedema/ delayed granuloma
目标: The rejuvenation of aging hands is becoming very popular. Just like the face, hands and neck could show
significant signs of age. Anatomical features such as thin skin, subcutaneous fat, quantity and quality of collagen, tendons and vessels, as well as extrinsic factors such as sun damage, permanent contact with cleansing and
disinfection reagents make this area an indicator of age. Unfortunately sometimes we can see unpredictable complications after hands rejuvenation. We would like to present 3 clinical cases of complications ( skin reactions, tendovaginitis and delayed granuloma)
介绍: Like the face, hands are a visible part of the body. They age more quickly and reveal comparable change with time
such as sun damage, permanent contact with chemical washing products and smoking. Reduced fat compartments and elastosis leading to visualization tendons, veins and bone prominence. Hand rejuvenation with HA dermal fillers and collagen stimulated products is an effective way with a high rate of patient satisfaction and low risk for complications. But, sometimes we can see unpredictable skin reactions
材料 / 方法: We would like to present 3 different cases in our practice with complications after dorsum hands rejuvenation.
Case 1. Urticaria acute reaction after skin revitalization with HA product ( combined high/low molecular weight of non-crosslinked HA)
Case2. Delayed oedema after dorshm hands rejuvenation with HA dermal filler
Case 3. Delayed non-inflammatory granuloma after skin rejuvenation with non HA collagen stimulated product
结果: The dorsum of the hands has three distinct fatty areolar laminae: the dorsal superficial, the dorsal intermediate and
the dorsal deep lamina.The intermediate and deep lamina are separated from the lamina superficial. The sensory nerves and dorsal veins are located within the dorsal intermediate lamina. No structures are apparent in
the dorsal superficial lamina. Thus, this layer is a safe area for injection and restoring the volume. Although the
author supports the proximal-to-distal fanning technique, we have found out, that tenting the skin, injecting superficial avoiding the deep layer
总结: For most of the doctor’s, rejuvenation of hands is a simple procedure with a high level of patient satisfaction and low risk of complications. Long-lasting result and easy rehabilitation make this kind of injection popular. Educating patients to not only take care of the face, but also of the hands make this kind of treatments more and more popular. But sometimes we can see rare complications and know how to manage them as quickly as possible
