Filler

Body

Hand rejuvenation

Hand filler in Hale, Altrincham

Hand filler restores lost cushioning beneath the skin, softening a bony appearance and making the veins and tendons on the backs of your hands less obvious.

You might notice it while typing, holding a cup or putting on a ring: your hands look bonier than they used to. The spaces between the bones seem deeper, and veins that once blended in now stand out.

Hand filler can replace some of that lost support, giving the backs of your hands a smoother, less hollow appearance. The aim is to restore a familiar shape, with the natural contours of your hands still visible.

Dr Alex will examine the skin and the tissue beneath it to see which changes filler could improve.

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With Dr Alex, a dermal filler educator who trains doctors, dentists and nurses across several filler ranges.

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Treatment cost
£400
First results
Visible straight away
Recovery
Allow for tenderness
Visible results
Usually 12-18 months

Does this sound familiar?

When your hands start looking a little more bony

You see your hands throughout the day. Small changes in their shape can be surprisingly noticeable.

Veins and tendons stand out more

The structures beneath the skin have become more obvious as the cushioning over them has thinned. You'd like to soften that appearance without losing the normal shape of your hands.

There are deeper hollows between the bones

The backs of your hands look leaner or more skeletal, even though you're not trying to change their size. Restoring those dips can make the surface look smoother.

Hand cream isn't changing the contour

Your skin may feel well moisturised, but the hollow appearance remains. You're wondering whether the change is beneath the skin, beyond what another cream can do.

At a glance

The details of hand filler treatment

The change in contour begins during treatment, as support is restored beneath the skin.

Treatment cost
£400
Dr Alex will confirm your recommended treatment and its cost at consultation.
First results
Visible straight away
The hollows become shallower as the filler restores support beneath the skin.
Recovery
Allow for tenderness
Swelling or bruising can occur. Plan around work or hobbies that put pressure on your hands.
Visible results
Usually 12-18 months
Dr Alex's general HA filler guide; the product and your response affect how long the improvement lasts.
Who treats you
Dr Alex
He assesses your hands and carries out the injections himself.

The change you can see

Less bony, with smoother contours

Replacing lost volume can reduce the sharp contrast between raised tendons and the hollows beside them.

The backs of your hands can look less skeletal, with veins and tendons less noticeable beneath the skin. Normal hand contours should still show; there is no need to aim for a completely flat surface.

Filler treats the missing support. Brown spots, sun damage and a fine crepey texture may need a separate approach, even when they appear alongside the volume loss. Dr Alex will help you decide which change would make the biggest difference to you.

✓

✓

Shallower hollows between the bones on the backs of the hands

✓

Less obvious outlines of tendons

✓

Veins that stand out less where lost volume is restored

✓

A smoother, less skeletal appearance overall

Choosing a treatment

Is it the shape, the skin or both?

Hand filler is most useful when a loss of soft tissue is making the underlying bones, veins and tendons more visible.

Volume has reduced over time
Your hands used to look less hollow, and you'd like to restore some of that contour. Dr Alex can assess how much support has been lost and what filler could replace.
Your hands have always looked lean
You don't have to have noticed a recent change to ask about treatment. If the backs of your hands have always looked very bony, an assessment can establish whether adding a little support would suit them.
There is more than one change
Hollows may appear alongside brown spots or crepey skin. Filler can address the contour while a separate treatment targets the skin, if both improvements appeal to you.

What filler won't change

It won't remove veins or treat arthritis

Filler can make veins and tendons less visible by restoring the tissue over them. It doesn't remove the veins, reshape arthritic joints or treat hand pain. New swelling, pain or an unexplained change in one hand needs medical assessment rather than cosmetic filling.

How it works

Restoring the layer that softens the bony outline

Hyaluronic acid filler adds gel beneath the skin on the back of the hand, replacing some of the volume that has been lost.

When the cushioning beneath the skin thins, tendons and veins become easier to see and the spaces between the bones can look more sunken. Filler replaces some of that missing support, making the changes in contour less abrupt.

The gel occupies space in the soft tissue over the deeper structures. It doesn't remove a vein or alter the bones; it makes their outlines less obvious through the skin.

Dr Alex assesses the hollows across the back of each hand so the correction blends into the surrounding contour.

Your appointment

A treatment plan for the hands you use every day

Tell Dr Alex what you notice about their appearance, and mention any work or hobbies that might affect the timing of treatment.

At consultation

Look at the contour and skin

Dr Alex examines both hands and discusses the change you want. Tell him about previous injections, surgery, circulation problems and any joint or tendon conditions.
Before you decide

Choose the approach

He'll explain which hollows filler could improve, how much he recommends and whether the skin needs a different treatment. The product, likely duration, risks and cost are discussed before you go ahead.
During treatment

Restore the missing support

Dr Alex places HA filler in the areas that need volume. The filler contains lidocaine to help with comfort. You may feel pressure or stinging, and you can ask for a pause.
After treatment

Plan your return to activities

You'll receive advice about exercise, pressure on the hands and when to resume particular activities. If further filler is being considered in the same area, Dr Alex normally waits at least a month; concerns should be raised sooner.

Why Dr Alex

Why choose Dr Alex for hand filler?

Dr Alex teaches doctors, dentists and nurses across several dermal filler ranges. Alongside that broader teaching work, he is currently a trainer for Evolus's Estyme filler range. He has also created filmed filler-injection education for MaiLi's international professional audience.

For your hands, he'll look at the missing support and the skin separately. Filling a hollow may soften the bony appearance, but adding more filler won't remove a brown spot. Knowing which treatment addresses each change helps you choose where to start.

He'll also take account of any filler already present. A result can fade without all the product having disappeared, so another treatment starts with an assessment.

GMC-registered doctor · 7072776

Full Member of BCAM

International toxin trainer

Aesthetics Awards winner 2021

Side effects and suitability

What should you allow for after hand filler?

Temporary swelling, bruising, tenderness or stiffness can make some hand activities less comfortable while the area settles.

Possible side effects

Lumps, unevenness, infection and delayed inflammation are possible. Tell Dr Alex about any condition affecting the joints, tendons, nerves or circulation in your hands before treatment.

An injection that blocks a blood vessel can damage the surrounding tissue. This is uncommon but needs urgent attention.

When to get urgent advice

Contact SONÜ immediately for unusual or increasing pain, pale, grey or mottled skin, or fingers becoming cold or numb. Seek urgent medical care if you cannot reach the clinic. Breathing difficulty or rapidly developing facial or throat swelling requires emergency help - call 999.

When treatment needs to be postponed

Active infection, inflamed or broken skin needs assessment before treatment. Discuss allergies, medicines, bleeding problems, previous filler reactions, pregnancy or breastfeeding and any relevant health condition with Dr Alex.

You can ask about alternatives and decide whether the likely improvement is worth having for you.

Treatment costs

How much does hand filler cost?

Treatment starts from £400 for the first 1 ml. We’ll agree the amount, areas and total cost with you before treatment.

First 1 ml
£400per first 1 ml
Additional 1 ml
£300per additional 1 ml, same appointment
The first 1 ml is £400, with each additional 1 ml at the same appointment priced at £300. If your plan is spread over several visits, each visit is priced separately using these rates. We’ll agree the plan and cost with you first.
A consultation with Dr Alex costs £75. If you choose to have treatment within 3 months of your consultation, you can put this fee towards it, including at a later appointment. It cannot be used towards skincare products. If you decide not to have treatment, the fee covers your consultation.
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If you also want to treat pigmentation or skin texture, that would be a separate recommendation with its own fee. You can choose which changes to address first.

Your questions

Questions about hand filler

These answers cover what filler can change and how treatment fits around everyday hand use.

Will it get rid of the veins on my hands?
It won't remove them. Restoring lost tissue can make the veins less obvious beneath the skin, alongside the tendons and bony outlines. Some visibility is normal, and the aim isn't to hide every vein.
Can hand filler treat age spots?
No. Brown pigmentation is a change in the skin, whereas filler treats missing volume underneath it. Dr Alex can assess the spots and discuss a suitable skin treatment if you'd like to improve those too.
How long does hand filler last?
Dr Alex generally quotes 12-18 months for visible HA filler results, with the exact estimate depending on the product and your response. Some product can remain after the clearest improvement has faded. He'll assess your hands before recommending more.
Will my hands look puffy?
The intended result is a smoother contour, not swollen-looking hands. The amount is chosen to restore support where it is missing. Temporary swelling can occur after injections, so the initial appearance isn't the final result.
Can I type or work afterwards?
Many people can manage light everyday tasks, but tenderness or swelling may make them less comfortable. Manual work, heavy gripping and strenuous exercise need more planning. Describe your usual activities at consultation so you can get advice suited to your treatment.
Does hand filler hurt?
You may feel a sting or pressure during the injections. The HA filler Dr Alex uses contains lidocaine, a local anaesthetic, and additional comfort measures can be discussed if needed. Let him know if you're worried about pain.
How much filler will I need?
It depends on the depth and extent of the hollows, the skin over them and the result you'd like. Dr Alex will examine both hands before recommending an amount. Existing filler also needs to be taken into account.
Will it improve crepey skin too?
Replacing volume can make the overall surface look smoother, but a fine crepey texture isn't always caused by missing volume. A skin-quality treatment may be more useful for that, or may complement filler when both texture and hollows need attention.
Is this the same as Lanluma or Ellansé for hands?
No. This treatment uses hyaluronic acid gel to restore volume directly. Lanluma and Ellansé are different injectables that stimulate collagen and have different effects, timelines and options if a problem occurs. Dr Alex can explain which approach suits the change you want.
Can I have it if I've already had treatment on my hands?
Often, but Dr Alex needs to know what was used and when. Previous filler, collagen-stimulating injections, surgery or an unresolved reaction can change the recommendation. Bring any product details you have, and have persistent swelling or lumps assessed before adding more.

Your next step

Let's look at what has changed in your hands

Book a consultation with Dr Alex at SONÜ in Hale, Altrincham. He'll assess the hollows, skin and underlying contours, then explain whether filler could give your hands the smoother, less bony appearance you're looking for.

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SONÜ Medical Aesthetics

34 Hale Road, Hale, Altrincham, WA14 2EX

Doctor-led treatment in a relaxed, private clinic

Close to Hale station and easy to reach from Altrincham, Manchester and Cheshire