Abstract

Due to aging, volume loss and wrinkled skin surface with bulging veins and tendons on the dorsal hands are prominently visible. Although fine skin surgery or mini-invasive rejuvenation has been reportedly effective through fat grafting or filler injection, various complications, including erythema, pain, swelling, bruising, paresthesia, and skin necrosis, occur due to injury to the close-packed superficial veins, cutaneous nerves, and tendons in the ultrathin soft-tissue thickness of the dorsal hand skin.

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