Individuals with noticeable loss of subcutaneous fullness from the back hand and those with thinning skin, which shows the underlying tendons and veins, are the best candidates for hand rejuvenation with fat grafts. Also, patients with arthritis or wasting of the hand are also great candidates for this procedure.
The key to the successful rejuvenation of the aging hand is to create an integrated layer of fat grafts over the back of the hand that makes the skin look and feel thicker with a slight youthful fullness. The back of an attractive, healthy appearing hand has a slight fullness that obscures veins and tendons but does not hide them.
Fat Grafting Recovery
The area of the hand that is treated is initially quite swollen. The hand can be used immediately after surgery, but it is strongly recommended that your hands be kept elevated above your heart to reduce swelling. This will improve the long term outcome of surgery. It is also important not to touch, massage or compress the back of your hands during this first week. Cold compresses are recommended to reduce the swelling and oedema.
The swelling will reduce gradually, with the majority of swelling resolving in the first 2-3 weeks. There will still be mild swelling for many weeks; the eventual outcome of surgery can be judged at the 6 month stage.