Minimally Invasive Hand Rejuvenation

Adam J. Rubinstein, MD, Larkin Community Hospital, Miami, FL
Goals/Purpose

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Hands are one of the most obvious signs of aging. Patients are increasingly seeking treatments to rejuvenate the appearance of their hands. Minimally invasive techniques have improved in recent years. Presented is an emerging technique for the rejuvenation of the dorsum of hands using combined plasma and RF energies along with grafting of micro fat and nano fat.

Methods/Technique

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Local anesthesia is placed in the dorsum of the hands and in the periumbilical area. Fat is harvested using syringe technique through an umbilical incision. Macro fat is then converted to micro fat and nano fat. The subcutaneous space of the dorsum of the hands are entered through 18G needle holes and gently tunneled using a blunt cannula. Combined plasma and RF energy is applied in the subcutaneous space. Micro fat and nano fat is then grafted into the subcutaneous space.

Video of each step of the technique is presented.

Results/Complications

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A limited series of cases is presented. Before and after images are shown. Follow up ranges from 3-6 months. {This will longer by the time of the conference} There has been one complication of an infection.

Conclusion

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Minimally invasive rejuvenation of the hand utilizing subcutaneous plasma and RF energy along with micro fat and nano fat grafting is a safe and effective technique.