Abstract
The hands are frequently exposed to an assortment of chemicals and ultraviolet (UV) radiation, which over time can be characterised by loss of dermal elasticity and atrophy of the subcutaneous tissue. Whereas extrinsic changes may present, such as solar purpura, solar lentigines and actinic keratoses, intrinsic changes can be significantly improved with the aid of a volumising agents such as calcium hydroxylapatite or hyaluronic acid dermal fillers. Administering these products can reduce the appearance of dorsal veins, tendons and boney prominences, restoring a smooth and youthful contour. It is vital that practitioners are up to date on their anatomical knowledge before treating the hands with any injectable products. Awareness of the dorsal hand anatomy and vascular system will ultimately increase the degree of accuracy in product placement, and decrease the risk of complications.
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