Hand Rejuvenation Surgery and Postoperative Care Guidelines

Why Might Hand Rejuvenation Be Necessary?

As we age, subcutaneous fat diminishes, collagen production decreases, and the skin becomes thinner and more translucent. This makes veins, tendons, and bones more visible, and sun exposure often leads to pigmentation spots and rough skin texture. Because hands are always exposed and used constantly, they tend to age faster than other parts of the body. In cases where facial rejuvenation procedures have been performed, aged hands can contrast noticeably with the youthful face. Hand rejuvenation surgery aims to restore balance by improving the texture, volume, and overall appearance of the hands.

How Is Hand Rejuvenation Surgery Performed?

Hand rejuvenation surgery generally combines several techniques to address both volume loss and skin quality. The most widely used method is autologous fat grafting, where fat is harvested from the patient’s abdomen, flanks, or thighs via liposuction, processed, and then injected into the backs of the hands. This not only replenishes lost volume but also delivers regenerative stem cells found in fat tissue, which improve skin quality and elasticity.

An alternative method involves hyaluronic acid-based dermal fillers, which are injected directly under the skin. These treatments offer immediate results, are minimally invasive, and can be performed in-office. However, they tend to be temporary, typically lasting 6–12 months. For pigmentation and surface irregularities, treatments such as laser resurfacing, IPL, or chemical peels can be used in combination with surgical techniques to optimize results.

The surgery usually takes around 45 to 60 minutes, is performed under local anesthesia, and patients can return home the same day.

What Is the Recovery Process Like After Surgery?

Recovery after hand rejuvenation is typically smooth and manageable. In cases of fat transfer, mild swelling, bruising, and discomfort may be present for the first few days. These symptoms usually resolve within 5 to 7 days. With dermal filler treatments, recovery is even quicker—most patients resume daily activities within 24 hours.

The most important postoperative consideration is to avoid excessive hand movement and pressure. Fat grafted cells require time to establish blood supply and survive in the new location. Therefore, hands should not be exposed to heat, heavy lifting, or strenuous activity for at least 10 days following the procedure. Keeping the hands elevated and minimizing strain helps preserve volume and ensures more symmetrical results.

Postoperative Care: Key Considerations

To optimize results and prolong the effects of hand rejuvenation, patients should follow these aftercare recommendations:

• Elevate the hands above heart level to reduce swelling.
• Avoid smoking, as nicotine impairs circulation and reduces fat graft survival.
• Keep hands away from hot water and harsh chemicals for the first week; wear protective gloves when needed.
• Do not massage or press on the treated areas, especially in the first 2 weeks.
• Eat a high-protein, antioxidant-rich diet to promote tissue healing.
• Attend follow-up appointments as scheduled to monitor progress.

Who Is a Good Candidate for Hand Rejuvenation?

This procedure is suitable for individuals experiencing visible signs of hand aging, such as volume loss, skin thinning, prominent veins, pigmentation, and textural changes. It’s especially beneficial for patients who have undergone facial aesthetic treatments and wish to maintain consistency in overall appearance. In these cases, hand rejuvenation acts as a complementary procedure that restores harmony between the face and hands.