Journal of Asia Pacific Aesthetic Sciences

Abstract: The aging hand is characterized by cutaneous and dermal atrophy, grooves between intermetacarpal spaces, prominent bones, tendons, and engorgement of reticular veins. Dermal fillers are a viable option available for physicians to restore the lost volume in aging hands. In this article, the use of the new calcium hydroxlylapatite (CaHA; Novuma), for hand rejuvenation is reported. One-year follow-up results, dilution, and injection techniques have been described. Five female subjects with volume loss in the dorsum of their hands were enrolled in this study. A solution of 1.5 mL of Novuma mixed with 1.5 mL 2% lidocaine and a total amount of 3 mL was injected into the areolar plane between the subcutaneous layer and superficial fascia of the hand with a 25-G and ultra-thin cannula through one entry site. The injected dorsum was massaged to achieve an even hand dorsum surface without irregularities. Subjects were reviewed in controls at 1, 6 and 12 months. With a single injection, all patients were satisfied without requiring any touch-up injections afterwards. Patients and the physician were all satisfied according to the questionnaire scores in the follow-up period. Nodule or granuloma was not noted. A few adverse events such as transient oedema and ecchymoses were observed. Novuma, a % 35 CaHA-containing, filler is effective, safe, easily injectable, longlasting, and versatile option for creating youthful appearance in the aging hands.