- We're gonna do a quick video for you today
on hand rejuvenation with a collagen stimulator.
So we're gonna look at this patient's hands.
She is in her 50s and and looks really good
and her motivation for improving her hands was
that her face has had a bit of attention,
we've done some work for her in the past,
and now she wants to focus on her hands.
What gives away your age?
The face, the neck, decolletage, and hands.
It's no good if you have old hands
and a very young face, and same vice versa.
The hands are not an area to be forgotten.
We can look at improving sun spots on the back of the hand,
we can also look at the volume of the hands,
sometimes people have veins or tendons
which they don't like the appearance of,
so we can look at volumizing the hands.
And also we can look at the skin, skin quality,
elasticity, and the texture of the skin there.
And today, we're gonna be looking
at a little bit of volume and a little bit
of the texture of the skin.
I'll be using a product called Radiesse,
which is actually a collagen stimulator.
We'll actually stimulate neocollagenesis,
which basically means it will help you produce new collagen.
This product is a white substance.
I've mixed in a bit of local anesthetic with it
so when we inject it, it won't sting.
Alright now, for the procedure itself.
I'll just mark out these veins while we're here
so we hopefully don't prang them.
(tranquil music)
Okay.
So when the hands are fully extended,
or the fingers are fully extended,
there's a little bit more crepiness of the skin there,
by no means bad at all, for someone of her age.
Skin tone is very good, and we're gonna try
and work on that elasticity, a little bit of the volume
so you don't see the tendons as much.
We're gonna use a long, blunt-tip cannula.
That should be able to reach all of the areas.
Alright now, a bit of alcohol, clean the skin,
especially where we put the entry points,
want it to be very clean there.
Pop a little bit of local anesthetic
just under the skin here.
Here, here.
Make an entry point with a sharp needle
which will allow the entry of a cannula.
This is a very unusual feeling for the patient.
Basically the cannula just creeping
underneath the skin there,
and I'm just fanning the product through.
You can see it as it goes through there.
And although you can see that it looks a bit lumpy now,
it doesn't end up that way.
As well as it being a collagen stimulator,
there is a temporary filler which comes along
with this product, and that really
just keeps the patient happy
whilst the collagen is kicking in, still.
So usually over a period of three months,
the temporary filler, which is carboxymethylcellulose,
sort of dissolves and the...
collagen kicks in.
The collagen stimulator is called calcium hydroxyapatite.
But it does take probably around the three month mark
for that to start to work, so basically,
patients won't see any result
from the actual calcium hydroxyapatite for three months.
However, they will experience the temporary filling effect
from the filler that goes along
with the calcium hydroxyapatite.
(gentle techno music)
So this should add a little bit of volume
as well as improve the skin texture
and elasticity.
Good massage.
You can see there's no residual lumpiness.
A bit of swelling is expected.
And it looks nice straight away
because of you've got that temporary filler.
Yeah, you like that?
Yeah.
You're just enjoying the hand massage.
(patient laughs)
That's the best bit.
Looking very good.
Okay, beautiful.
So there's a quick video for you
on improving the backs of the hands.
Longevity is one year to 18 months.
But because you're stimulating your own collagen,
it's quite a natural process and you might
even get a little bit of long-term improvement from that.
Thank you again for watching,
and we'll see you in our next video.
Thanks, man.
So, today's video, we're looking at the hands
and how we can improve-- (groans)
(jaunty music) (patient laughs)
What should I say? (laughs)
The quality of your-- hands. (patient laughs)
(laughs)
Terribly calloused, I've got a blood blister there,
looks awful.
And I say, so we're gonna--
'Cause really what gives away your age,
if you look at it, is the hands--
Sorry, what gives--
Are we done?
Okay, I guess we'll stop.
I should probably give a pedicure as well.
What do you reckon? (laughs)
(patient laughs)
I don't offer that service here.