Our hands can be a tell-tale sign of ageing due to skin laxity, volume loss, wrinkles and fine lines. They are often ignored and deserve more care, affection and attention than they typically receive. Ageing hands tend to make the patient look frail and much more aged than they truly are.

As we age our skin tends to lose its elasticity and starts to wrinkle and sag. This course of nature strips away that youthful bounce. However, there are many ways in which one can slow down this process and shed a few years off their skin – all without having to go under the knife.

At Tamira, we offer a range of different techniques which can be individually curated to best fit your hands.
The principle:

The skin is soft and bouncy during our youth because of two protein factors found in the skin called elastin and collagen. These proteins keep the skin firm, repairs the skin and causes rejuvenation which is vital for a youthful appearance. As we age the production of these proteins slows down drastically, aiding in the skin showing signs of ageing.

Skin Tightening

The technology:

All these different procedures work by jolting the skin. the waves or rays emitted, produce heat in the dermal or epidermal layers. This ‘wakes up’ the skin stimulating the production of collagen and elastin which naturally repairs the skin over time. Non-surgical skin tightening for ageing hands is be performed using radiofrequency technology.

The procedure:

Thermage:

This one of a kind skin tightening treatment uses radiofrequency technology to help repair and rejuvenate the skin. Thermage is the most effective and widely used treatment because it aids to achieve optimal results within a single sitting. This procedure can reduce the appearance of fine lines, wrinkles and sagging skin, revealing – youthful, firm, plump, bouncy and smooth skin.

Instalift:

Instalift is a non-invasive procedure that also uses radiofrequency (RF) technology to aid skin tightening. The process involves emitting RF waves, which produce a warm tingle. The heat produced in the epidermal layer induces collagen production. This repairs the skin reducing the appearance of fine lines, wrinkles, bulging and sagging skin. Instalift results in more plump, firm, soft and youthful skin.

The procedures typically take 1 to 2 hours to perform depending on the region. There is no downtime involved and one can resume daily activities immediately. Post-procedural effects may include mild redness, irritation and tenderness. There may be some immediate visible effects, however, since it stimulates natural healing and repair it may take a few weeks to show its full effects.

Eligibility & expectations:

These treatments can be performed on both men and women with any skin type. The best results are shown when these procedures are used as an early anti-ageing treatment for patients in-between their late twenties and early thirties.

Non-surgical skin tightening is still effective for patients of an older age bracket. Nonetheless, the result of the treatment depends on the severity of effects seen on the skin, the age of the patient and their ability to produce collagen (which correlates to the result). Ultimately one can’t run from ageing, older patients may require surgery after a few years of treatment.

These treatments, however, cannot be performed on pregnant women and at times is not effective for people with a lot of loose skin due to tremendous weight-loss/ageing.

Advantages:

  • Firmer, smoother and bouncier skin
  • Enhanced youthful appearance
  • Potentially reverse signs of ageing
  • Promotes production of collagen & elastin
  • 1 – 2 hr procedure
  • No downtime
  • No risk and virtually painless
  • No surgery and no needles
  • Long-lasting results
  • Minimal sittings
  • Naturally repairs and rejuvenates skin
  • Minimal side effects (redness, tenderness and irritation)

Botox & fillers

Botox is a purified form of the botulinum toxin obtained from bacteria. It is widely used in small quantities to reduce the appearance of fine lines and wrinkles. Botox is a temporary treatment that works by blocking nerve signals to the facial muscles and thus results in smoother, youthful skin. This treatment can also be used to reduce perspiration, especially in cases of excessive sweating or ‘hyperhidrosis’ (commonly found in men).

Fillers on the other hand are made up of substances like; calcium hydroxylapatite, hyaluronic acid etc. These dermal fillers are used to volumize and add fullness to areas like the face, neck, lips and hands. Fillers are also a temporary treatment that will need maintenance every few months. Fillers result is plump and bouncy skin which can reduce the appearance of wrinkles and sagging skin. They can also be used to increase the size of features like the lips or used to create symmetry by balancing features of the body.

Both these methods of treatment are minimally invasive and delivered via injections. Due to the delivery method, it may cause some redness, tenderness and bruising which usually disappear within a week. The actual result will be shown after the swelling has subsided and the treatment is massaged into place. There is no downtime involved.

Fat grafting

Fat grafting is the surgical process wherein fat is transferred from one site to another. Fat injections can reduce the appearance of fine lines, wrinkles, hollow/sunken skin and sagging/drooping skin. Fat grafting aids in adding volume or augmenting ageing hands– resulting in plump, symmetrical and an enhanced youthful appearance.

Pre-procedural prep

  • Expectations – during the consultancy, the patient is prompted to express their desired expectations with the surgeon and discuss its possibilities. Showing pictures of desired results is more helpful in reaching a consensus.
  • Medical history – the physician will ask the patient about their past-medical history as well as family history to ensure that they are eligible to undergo the surgery. Patients with blood disorders are advised not to undergo this procedure as they are at higher risk.
  • Photography – a professional will take before and after pictures in different angles to record the change made due to the procedure. The patient may also be provided with a photoshopped picture before the surgery to have realistic expectations.
  • Smoking – the patient is strictly advised to avoid smoking a week before the procedure as it can affect the surgery and healing process of liposuction.
  • Medications – after reviewing the patient’s medical history, the physician may ask the patient to stop consumption of certain medicines. They include – aspirin, immunosuppressants, anti-inflammatory medicine, herbal capsules, blood thinners and other anti-coagulants.
  • Care – the patient may be asked to arrange for driven transport if they cannot drive post-surgery.

Procedure

    • Step 1: liposuction
      Fat grafting begins with liposuction and is typically performed using local anaesthesia. Fat is extracted from the adipose layer in the donor site. This is performed using thin liposuction cannulas to ensure that there is no unnecessary damage to the fat cells. The incision made is closed using sutures.General anaesthesia may need to be used if liposuction is above 500cc.
    • Step 2: purification
      The extracted fat is then processed via decanting, centrifugation or by washing the adipose tissue in sterile saline solution. Processing the fat ensures that only healthy adipose cells are transferred into the recipient site while leaving behind debris, fluids and necrosed cells.
    • Step 3: delivery of fat
      The purified adipose cells are then delivered by the surgeon to the recipient site/ target area via injection to achieve desired results. The fat is deposited evenly to ensure that there is sufficient blood supply to avoid necrosis.

Risks & recovery

  • Downtime – the patient can resume normal activities almost immediately if the volume of liposuction is low.
  • Activities – Swimming, gymming or any strenuous exercise should be avoided until prompted by the surgeon.
  • Bruising – since this procedure involves augmentation, the skin will stretch rapidly and lead to bruising.
  • Sensation – there may be partial loss of sensation after complete healing. This can cause temporary or permanent numbness around the treated area.
  • Necrosis – there is a possibility of fat necrosis/ adipose cell death.
  • General risks – surgical procedures may cause redness, bruising, bleeding, haematoma, pneumothorax, scarring and infection.
  • Rest – the patient is advised to take complete rest to promote fast healing.
  • Ice & compression – the wound should be compressed with an ice pack to reduce swelling.
  • Elevation – the patient is advised to keep the donor site in an elevated position. This reduces swelling and avoids tugging / pulling on the sutures.
  • Smoking – the patient is strictly advised to avoid smoking for up to two weeks post-treatment. Smoking can interfere with blood flow and can cause problems with healing.
  • Alcohol – the patient is advised to avoid alcohol consumption for a few days as it can counteract with medications prescribed for aftercare.
  • Medicines – the surgeon may prescribe painkillers and antibiotics. They can be a combination of tablets as well as topical treatments. These medicines need to be used promptly as prescribed by the physician.
  • Makeup – makeup can be used to conceal any prolonged bruising and scars post-recovery.

Microneedling

Microneedling is a new technique that is found to be very effective in repairing and rejuvenating the skin. The procedure involves using a derma roller (a specialized roller with microneedles) in particular movements to stimulate the production of collagen. Collagen has been known to have skin-repairing properties. This treatment reduces the appearance of fine lines, wrinkles, sagging, laxity and other signs of ageing. Microneedling results in bright, smooth, plump and glowing skin. This procedure is painless and has the additional benefits of increased circulation to the face.

This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

Medication

Topical treatment:
Creams containing collagen can be effective in enhancing anti-ageing effects on the skin. Topical treatments also ensure a moisturizing effect on the skin that reduce dryness, wrinkles and fine lines. This method of medication is a very common accompaniment that complements other techniques.

Oral supplements:
Supplement medication allows the body to work on itself inside-out. Supplements containing collagen can promote skin tightening and result in firm, plump and youthful skin throughout the body and not just targetted at the hands.

Body polishing

Body polishing in essence is exfoliation. Our skin is made up of layers of tissue, wherein the newer cells lie under the older ones. Exfoliation is necessary to remove the dead cells lying on top – revealing bright, healthy and firm skin underneath.

An exfoliant can be comprised of a combination of both physical and chemical particles that slough-off grime, dirt, dust and dead cells. Exfoliation also increases blood circulation to the targetted area, this stimulates collagen production and reduces skin laxity.

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Tamira Plastic Surgery

No. 18, Gopalapuram 1st St, Gopalapuram, Chennai, Tamil Nadu 600086