Hollowing of our facial features is a main contributor to looking older and more tired. This could happen due to weight loss, genetics, having a very low body fat composition, or certain diseases. There are several good options for someone with your issue:

Fillers: Fillers can be used to target the hollowing features. They can be directly injected and you see an immediate result. This group includes injectables like Restylane, Juvederm, and Perlane.

Collagen Stimulators: These include Sculptra and Radiesse. Sculptra is an injectable but is not a filler. It causes your body to build collagen in reaction to it. It slowly works over several weeks and has a very gradual effect. It is usually done gradually over 2 to 3 treatment sessions to achieve an optimal result. Radiesse is a hybrid between fillers and Sculptra. It has an immediate filling component which you will see right away, and a collagen stimulatory effect that is also gradual like Sculptra.

Fat Injections: Fat can be harvested from other parts of your body, purified, and then gently injected back into your face. This is closer to being a surgical procedure but can also be done with you awake in our treatment room.

Aging of the hands is usually due to two main factors: thinning of the skin (dermis) and subcutaneus fat, as well as pigmentary changes.

To deal with the thinning of the skin and fat, there are two main options: Fat injections, or injections of fillers. Fat injections can work very well, but have the downside of prolonged edema (swelling) as well as the potential for lumpiness, and need to add more fat at a later time. With the advent of fillers, the same result can be achieved quickly and easily, with minimal risk and no discomfort.

The pigmentary changes can be dealt with either peels, laser therapy, or creams.

The thinning for the dermis and subcutaneous tissues are usually the first sign of the aging process of the hands and can start in our early 30's. Fortunately pigmentary changes happen later on, especially if we protect our hands from the sun by wearing appropriate sunblock.