John B. Cher, MD
Ear, Nose, Throat, Facial Plastic & Cosmetic Surgery
Creating a New You!

Hand Rejuvenation

Hand Rejuvenation in Santa Monica – Parkside Surgery Institute
Serving Patients in Santa Monica, Brentwood and West Hollywood

Aging Hands – Cosmetic improvements for the face have almost superseded the need for a facelift. With many people now enjoying a very youthful face, the second most age-telling part of the body is the hands.

Part 1 – Volume Restoration

Hand aging is primarily a factor of fat loss in the skin structure. The fat padding is what keeps the hands looking smooth and young. If you compare a young person's hands with an older person's both in touch and appearance, it is apparent that this natural fat layer makes a very obvious difference.

Although fat injections have been used in the past, this requires two procedures, with the fat extraction being a surgical one. A simple and immediate nonsurgical method of restoring the lost volume in hands is by the use of the filler Radiesse.

Radiesse for Hand Revolumizing

Fat loss in the hands is a natural occurrence with aging. This loss of padding results in a bony or “wiry” appearance as the bones and tendons are more obvious and also makes veins more visible.

Radiesse is a highly malleable product and when injected into the dorsum of the hand, is easily massaged into the entire area to feel and look completely natural.

How Radiesse Volume Restoration is Accomplished

The Radiesse is mixed with lidocaine numbing solution to make the product more fluid and to make the procedure comfortable. A large amount of the Radiesse mixture is then injected into the back of the hand. It is a surprisingly painfree injection. The Radiesse then is massaged into a smooth layer that levels the skin surface and diminishes the prominence of veins, tendons and bones. Since Radiesse easily interweaves with the collagen in skin, there is little concern of uneven areas or movement of the filler once it’s in place. It is that simple. Radiesse has a longevity of up to 2 years and potentially longer as there is usually less wear and tear to that part of the hand.

Part II – Pigmentation Removal

We spend an enormous amount of time in our cars in California. That means thousands of hours with our hands on the steering wheel in the sun. The majority of us, and this certainly applies to men, never think to apply sunscreen on our hands. Over the years we've set up a pigmentation production plant on the backs of our hands. Breaking up that pigmentation and removing the age spots and freckles goes a long way to "de-aging" hand appearance.

This can be accomplished with IPL, Fractional Laser or a combination of both and or a TCA peel.

IPL Photofacial treatments breaks up the pigment molecules and allows the body to sweep them away. Generally with a short series of IPL (Photofacial) treatments you can enjoy a near complete clearance of sun generated pigmentation.

IPL is an intense light that is absorbed by pigment. The initial treatment breaks up surface melanin and causes it to peel off. Subsequent treatments reach into the deeper layers and break up "immature" brown spots so the body can sweep them away internally.

Post treatment sun protection will prolong the clearance and potentially prevent reoccurrence. Lack of sun protection will allow new spots to generate which may require additional IPL sessions.

Fractional Laser is a useful tool in hand rejuvenation as it both removes pigmentation and resurfaces rough skin texture, plus adds a bit of tightening in the process. Fractional laser is a single laser beam that is split into microscopic columns. This allows skin around the treated column to assist in quick healing without the problems associated with full surface laser systems.

Trichloroacetic acid (TCA)  peels are used to improve fine wrinkles and scars and diminish blemishes, discolorations, blotches and pigmentation abnormalties. TCA removes the outer 2 layers of skin (epidermis) and therefore decreases the depth of wrinkles and fine lines; also improves discolorations and age spots. After your TCA peel, your skin is lighter, tighter and more evenly textured.

During your office consultation with Dr. John Cher, a leading Santa Monica plastic surgery provider, you will be provided with a detailed plan of the treatments that will benefit you most. Initial Cosmetic Consultations are Complimentary.

Please contact us by phone or email with any questions you may have or request an appointment online for your complimentary consultation.

Dr. Cher performs numerous body contouring procedures, including treatments for Santa Monica liposuction, body lift and abdominoplasty patients.

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Office Location

  • Santa Monica
  • 2428 Santa Monica Blvd Suite 404
  • Santa Monica, CA
  • 90404
  • Map & Directions
  • Call: 310-582-9191


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John B. Cher, MD
1908 Santa Monica Blvd Suite 3 Los Angeles, CA 90025
Phone: (310)582-9191 URL of Map