Goldman, Butterwick, Fitzpatrick, and Groff Cosmetic Laser Dermatology, San Diego, CA 92121, USA.
Dermatol Surg. 2012 Jul;38(7 Pt 2):1112-27. doi: 10.1111/j.1524-4725.2011.02291.x. Epub 2012 Jan 23.
The aged hand is characterized by cutaneous and dermal atrophy, with deep intermetacarpal spaces, prominent bones and tendons, and bulging reticular veins. Epidermal changes include solar lentigines, seborrheic keratoses, actinic keratoses, skin laxity, rhytides, tactile roughness, and telangiectasia.
A Medline search was performed on hand rejuvenation from 1989 to 2011, and results are summarized. Practical applications of these procedures are also discussed.
Reports of injectable hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, autologous fat transfer, vein treatment, and chemical peels, along with lasers and light sources such as Q-switched laser, intense pulsed light, photodynamic therapy, nonablative resurfacing lasers, and ablative resurfacing lasers, in the rejuvenation of hands were found.
Review of the literature revealed options for minimally invasive treatment for rejuvenation of the skin and volume restoration of the dorsal hand. These treatments include injectables and fat transfer for volume restoration; sclerotherapy or vein ablation for dorsal hand vein treatment; and chemical peels, lasers, light, and energies for the treatment of epidermal and dermal changes.
老年手的特点是皮肤和真皮萎缩，指间深部间隙明显，骨骼和肌腱突出，网状静脉隆起。表皮变化包括日光性雀斑、脂溢性角化病、光化性角化病、皮肤松弛、皱纹、触觉粗糙和毛细血管扩张。
对 1989 年至 2011 年手部年轻化的文献进行了 Medline 检索，并对结果进行了总结。还讨论了这些程序的实际应用。
报告了注射用透明质酸、羟基磷灰石钙、聚左旋乳酸、自体脂肪移植、静脉治疗和化学换肤，以及激光和光源，如 Q 开关激光、强脉冲光、光动力疗法、非剥脱性嫩肤激光和剥脱性嫩肤激光，用于手部年轻化。
文献复习发现了用于皮肤年轻化和手背体积恢复的微创治疗选择。这些治疗包括注射和脂肪移植用于体积恢复；硬化疗法或静脉消融用于手背静脉治疗；化学换肤、激光、光和能量用于治疗表皮和真皮变化。
