Hand Rejuvenation — Dorsal Volume Restoration

The hands are one of the body's most reliable age indicators, often revealing a person's age — or adding years — when the face has been successfully rejuvenated. The dorsal hand loses fat volume progressively from the fourth decade onward, a process accelerated by sun exposure and weight loss. As the subcutaneous fat layer diminishes, the extensor tendons and dorsal vein network become visually prominent — a recognisable marker of chronological age that…

Hyaluronic acid filler injection is the most established minimally invasive treatment for dorsal hand volumisation. At S-thetics Beauty, Stylage XL or Stylage L (high-density, long-lasting HA formulas from the Vivacy range) are used to rebuild the subcutaneous layer across the back of the hand, smoothing the surface, reducing the visibility of the tendon and vein network, and improving the overall texture and appearance of the skin.

MDDr. Šanšašvili performs the injection using either a fine cannula technique (which allows product to be distributed in a single entry point through a small tunnel across the dorsum) or a serial-puncture needle technique — the choice depends on the anatomy and volume required. A cannula approach reduces bruising and the risk of inadvertent vascular injection in the richly vascularised hand dorsum, making it the preferred technique for larger volumes. The…