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W H I T E P A P E R

HAND REVOLUMISATION aestheticmed.co.uk

TABLE 1. Dorsal hand severity scales before and after
first PCL treatment

Post 1st – treatment
Dorsal Hand Severity Scale Pre-treatment 3 to 6 months
observed for HA fillers. Hand
edema can persist for up to five 0 – No Volume Loss 0/15 0/15
days (Figure 5), but no other side 1 – Mild Volume Loss 0/15 10/15
effects were noted. 2 – Moderate Volume Loss 11/15 5/15
3 – Severe Volume Loss 4/15 0/15
CONCLUSION 4 – Very Severe Volume Loss 0/15 0/15
PCL filler was determined to be
effective for improvement of
dorsal hand volume loss with TABLE 2. Patients’ satisfaction score after first and second treatment
minimal side effects. It would be
of interest to perform comparison 1st Treatment 2nd Treatment
studies of dorsal hand treatment 3 to 6 months 12 to 24 months
to explore the duration of PCL filler Patient Satisfaction Scale (n = 15) (n = 7)
volume correction with hyaluronic
acid or calcium hydroxyapatite Extremely Satisfied 6/15 4/7
fillers. Further comparative Satisfied 7/15 3/7
studies with larger numbers of Slightly Satisfied 2/15 0/7
patients and comparisons with Dissatisfied 0/15 0/7
other fillers used for dorsal hand Extremely Dissatisfied 0/15 0/7
volumisation are suggested. AM

Laser Ther. 2008;10:237–41. rejuvenation. J Cosmet Dermatol.
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Dr Nick Lowe is a consultant dermatologist at Cranley Clinic, London and clinical professor of
Dermatology at UCLA School of Medicine, Los Angeles. He is a Fellow of the Royal College of Physicians,
American Academy of Dermatology and American Society of Laser Medicine and Surgery.

Dr Ali Ghanem is a consultant aesthetic plastic surgeon and clinical senior lecturer in plastic,
reconstructive and aesthetic surgery at Barts and the London School of Medicine & Dentistry, and head
of department of Aesthetic Medicine at the College of Medicine and Dentistry, Ulster University.

60 Aesthetic Medicine • June 2020