hi i'm dr john thanks for joining me
we're going to watch a video
on hand rejuvenation with a permanent
product called
bellaphyl pmma polymethyl methacrylic
acid sometimes
you see radius enhanced it's fda
approved also restylane lift a
hyaluronic acid
in this case i'm going to show you
bellaphill pmma being used with a micro
cannula
to rejuvenate the hands it was asked by
a viewer if i could show more in the
hands
let's dive into it in three seconds
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now hands
the hand region when people ask where it
is it's from the
the what we call the metacarpal
phalangeal joints for the metacarpals
from
this area down to the wrist it does not
include the fingers
there are things you can do but mainly
we're talking about the back of the hand
here
and i'll show you the injections a lot
of people who do this tend to be
people using their hands in videos
pianists
people where their hands are a focus
magicians
or people who use them a lot just get
wasting and as we age
we get wrinkles and foals now skin care
a lot of people forget about
using it in the lower neck in this
region also
on the hands you can use retinoics you
can use vitamin c
all your antioxidants sunscreen of
course a lot of people
forget to use it there but prevention is
key because if you never need fillers
you never need
these treatments all the better so
remember to
to take care of the skin here and i'm
going to show you a device
quickly too that we're using on the
hands before
the pmmp mma filler and what that does
it's an injectable radio frequency
device
that rejuvenates the skin just like we
do on the face with our plasma global
procedure and that helps build collagen
it gives glow and then we do the filler
for volume
so it's really a two-step process the
superficial skin
brown spots and remember chemical peels
and other things are also viable options
for the hands let's go to the video
we'll watch it being done
now so here you can see we're cleansing
the hands first
and i use either uh 70 to 90 percent
alcohol
puresin is much more common now creating
the opening for the cannula
and then inserting the cannula in this
case it's a 27 gauge
most commonly i'm using a 25 or even a
22
lately as we create the opening then we
insert the long cannula because this is
a one and a half inch
a lot of times we use two inch you can
bolus so you can put a large
area and you'll see a little bit of
bolus in here
and then you can smooth it out it's a
great way to do it but you can also
inject along those hollows now with this
one opening we can reach
most of the hand rarely do people want
it between the thumb and index finger
because those muscles
create volume but you can see the
filling that's occurring here
right along the region in between
the patient's second and middle finger
and we'll still smooth that out but we
can
lay down the product first and then
afterwards massage it through
now we're using one syringe here so far
it's not uncommon to use one and a half
syringe per hand
come back at about a few months time
after this is built as collagen
and then we will add anywhere from a
half to another syringe so
the average might be two to three
syringes
per hand and keep in mind a bellophill
kit
which is known as artificial prior a
bellophill kit is five syringes in it
most people buy a kit for the hands and
a kit or two for the face
it's a long lasting product so in that
sense it's cost
effective and it will build collagen
around
in and around the hand to help plump it
there can be a little swelling
after the procedure but most people
don't mind it in this region
in terms of movement very rarely
is movement affected if it is it's
usually only for a few days
very little blood involved with this
procedure i hold a little bit of
pressure
and then at the end here what we're
doing is massaging i'm massaging the
hand
to smooth it out i use a little bit of
gel for that area
and it just smooths it right out now
before or after the procedure but a lot
of times before
what i'll do is this radio frequency
procedure that you see here
you can see it's a roller application
going back and forth along the hands
but it's actually going to stimulate
collagen and
provide that top layer of skin with less
brown spots
tighter skin and then the bellophill
works from down below
so there you go that's bella fill in the
hands hand rejuvenation
do you do it do you like it are even
interested in your hands or are you
putting more of the funds towards your
face and neck
before worrying about the hands which is
common let me know in the comments
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