Our Summary

This research paper is about the increasing demand for hand rejuvenation procedures in dermatology, specifically focusing on a method known as dorsal hand augmentation using soft tissue filler. The filler is used to improve the appearance of the hands. The paper mentions that Calcium hydroxyapatite is officially approved by the FDA for this purpose. However, it also mentions that other filler products are available, although their use for this specific procedure is not officially recognized. The article further discusses the relevant hand anatomy, different techniques used for the procedure, and possible complications that might occur.

FAQs

  1. What is the purpose of dorsal hand augmentation in hand rejuvenation?
  2. Is calcium hydroxyapatite FDA approved for dorsal hand augmentation?
  3. What potential complications may arise from hand rejuvenation procedures?

Doctor’s Tip

A doctor may advise a patient considering a hand transplant to carefully follow post-operative care instructions, including proper wound care, medication management, and physical therapy to ensure a successful recovery and optimal function of the transplanted hand. It is important for the patient to communicate any concerns or unusual symptoms to their healthcare provider promptly.

Suitable For

Patients who may be recommended for hand transplant surgery typically include those who have suffered severe trauma, such as amputation or severe burns, resulting in loss of function or disfigurement of the hand. Additionally, patients with congenital deformities or progressive diseases that affect the hand may also be considered for hand transplant surgery. It is important for patients to be in good overall health and have realistic expectations for the outcome of the procedure. A thorough evaluation by a multidisciplinary team, including hand surgeons, transplant specialists, and mental health professionals, is usually required before a patient is deemed suitable for hand transplant surgery.

Timeline

Before hand transplant:

  1. Patient undergoes assessment and evaluation for hand transplant candidacy, which includes physical and psychological evaluations.
  2. Patient receives counseling on the risks and benefits of hand transplant surgery.
  3. Patient may undergo physical therapy or occupational therapy to prepare for the surgery.

After hand transplant:

  1. Patient undergoes hand transplant surgery, which involves the removal of damaged or missing hand tissue and the transplantation of donor hand tissue.
  2. Patient undergoes post-operative care and rehabilitation, which includes physical therapy, occupational therapy, and medication management.
  3. Patient may experience complications such as rejection of the transplanted hand tissue, infection, or nerve damage.
  4. Patient continues long-term follow-up care to monitor the success of the hand transplant and address any complications that may arise.
  5. Patient may experience improvements in hand function, appearance, and quality of life following a successful hand transplant.

What to Ask Your Doctor

  1. Am I a suitable candidate for a hand transplant?
  2. What are the risks and complications associated with hand transplant surgery?
  3. How long is the recovery process after a hand transplant?
  4. What kind of rehabilitation or therapy will I need after the surgery?
  5. What is the success rate of hand transplants?
  6. How long will the transplanted hand last?
  7. Will I need to take immunosuppressant medication after the surgery?
  8. How will the transplanted hand function compared to my original hand?
  9. Are there any alternative treatments or procedures I should consider before opting for a hand transplant?
  10. How experienced is the medical team performing the hand transplant surgery?

Reference

Authors: Fathi R, Cohen JL. Journal: J Drugs Dermatol. 2016 Jul 1;15(7):809-15. PMID: 27391630