section of the forum is dedicated to discussions addressing injectable fillers including Restylane, Perlane, Juvederm, Radiesse, Sculptra, Silicone, Artefill, or other office-based injectable filler, except for the management of acne scarring (See Acne/Acne Scarring Forum).
Dr Lam, do you have to inject fat in two places in order to place the transfer not only on the top part of the hands but also the knuckles and fingers, or because of your technique, does it only take one injection for each had to accomplish this. As a comment, you are right to call some other people who inject fat lay practioners rather than surgeons, in certain cases.
when i do hands i typically use 10 ports of entry going 13 different angles. in other words, i reuse 3 of the ports to go in different directions. I rebuild the back of the hand, proximal fingers up to knuckles, thenar eminence (transition over to the thumb). i believe just like the face that the hands should be blended and i use the smaller areas like the fingers and thumb area to transition from the augmented dorsum, or back, of the hand. btw, no more questions this weekend please. i am moving the entire forum over including blog and website over by monday. this question might just disappear in the process. best, sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery