Hand Rejuvenation


hand rejuvenation Dr Teri Johnson Cheshire

Have you considered Hand Rejuvenation?

Do your hands give away your age?

No part of the body tells the story of your age more than your hands.

The hands suffer more environmental damage, and often have less protection than the rest of your body. Dryness, poor skin texture, age spots, uneven skin tone, visible veins, fine lines and wrinkles can all add to the general age appearance of your hands.

Want to know a person’s real age? Just look at their hands.

The natural fat cushion that we’re born with under the skin of the hands begins to lessen in our late twenties and early 30’s. By the time most of us hit 50, all the structures in the hand show up – the tendons, bones and the veins.

Help is at Hand

Dr Teri Johnson has been performing hand rejuvenation since 2008. Over the years, she has tried and tested various treatments.

Dr Teri Johnson recommends the following treatments:

Ellansé Hand Rejuvenation

Ellanse is a Dermal Filler and a Collagen Stimulator available in the UK since 2010.  It is a unique and innovative dermal filler which stimulates the generation of the body’s natural collagen, for beautiful, fresh and longer-lasting results.

Dr  Teri injects Ellansé into the skin with a cannula, and then firmly massages it to ensure even coverage.

You see an immediate improvement after treatment due to the presence of the filler.  Over a few months, the results reduce slightly as the filler degrades. The results improve again as collagen production occurs, creating a volume effect and an improvement in skin texture.

This treatment is good for volume loss to help cover veins and tendons in the hands; it is also great for improving the skin texture.
You may only need only one treatment. However, older hands with volume loss and loss of elasticity may need a second treatment.

Find out more about Ellansé here. 

Restylane Vital Skin Boosters

Restylane Vital Skin Boosters contains small molecules of hyaluronic acid filler.  When injected under the skin, it provides improvement in skins elasticity and deep dermal hydration.  By moisturising from within it diminishes the fine crepey lines to give a plump and hydrated appearance.
An initial, intense treatment usually comprises three sessions, 3-4 weeks apart.

At each treatment, a series of very fine micro-injections or a cannula is used to place the product under the skin.

Typically a maintenance treatment would be required after around 3-4 months.


Restylane Vital remains in the skin for about 4-8 months if not longer. It attracts water for skin hydration and improves skin texture, as well as volumises the skin, to help reduce the appearance of unsightly veins and tendons.
Restylane vital rarely causes any long term adverse effects but can be dissolved by hyaluronidase.


Three treatments are usually required and regular maintenance every 3-4 months to keep the effect.

The treatment causes a lot of bruising unless a cannula is used.

Find out more about Restylane Skin Boosters here. 

Radiesse Hand Rejuvenation

Radiesse was launched in 2000 and is FDA approved. It is a non-permanent Dermal Filler that contains calcium and phosphate-based microspheres. When injected under the skin microspheres stimulate your skin to produce new collagen.

The product is injected directly into the skin with a cannula.  The product is then firmly massaged to ensure even coverage.

Radiesse gives an immediate improvement due to the presence of the filler.  Over a few months, the results reduce slightly as the filler degrades. The results improve again as collagen production occurs, creating a volume effect and an improvement in skin texture.

This treatment is also good for volume loss to help cover veins and tendons in the hands.
You may only need one treatment. Although if you have older hands or hands with significant volume loss, you may need a second treatment.

Typically this treatment lasts around 12 months.

You will need a maintenance treatment after 9-15 months.

This product is not ideal for you if you have thin skin. Radiesse filler is firm, so you need to apply firm, vigorous massage after treatment.
The product does as not give much hydration.

Find out more about Radiesse hand rejuvenation here. 

Profhilo Hand Rejuvenation

Profhilo is a revolutionary injectable product based on hyaluronic acid (HA), the same substance used in most Dermal Fillers.

It is not a filler; it is a ‘skin rejuvenator’.

Profhilo remains in place for a short time (up to 28 days). It then brakes down and is eliminated, naturally and safely. While in place, it stimulates the body’s processes for regenerating skin tissue. Profhilo is the only skin remodelling product to hydrate the skin and stimulate all four types of collagen and elastin. Hence why it is a called a ‘bio-rejuvenator’ or ‘bio- revitaliser’.

You will need a course of two treatments for best results, one month apart. If you have older more delicate skin, you may need a third treatment a month later.

You will need a maintenance treatment after 4-6 months for best results.


This product degrades quickly and leaves your body quickly, which often suits people who like minimally invasive natural treatments.
Treatments are easy and quick and take only 15 to 20 minutes.
The treatment is the best for thin crepey skin, which is delicate.

The hydration effect does create some volumisation of the skin.  However, this is often not enough to cover visible veins and tendons due to fat loss under the skin.

Find out more about Profhilo here.

Aliaxin SR Hand Rejuvenation

IBSA the manufacturer of Profhilo also makes Aliaxin. It contains three different hyaluronic acid molecules. One of which is the same as the one in Profhilo. The other two act more like a filler designed to hydrate, plump and volumise the skin.

Dr Teri injects Aliaxin SR in the hands with a cannula.

She then performs gentle to moderate massage to make sure the product feels smooth in the tissues.

Most people need two treatments for best results, one month apart.

You will need a maintenance treatment after around six months for the best results.


This product is the best of all worlds, collagen stimulation in the skin itself to improve texture, elasticity. However, it also gives volumisation, to plump and hydrated the skin due to the hyaluronic acid filler component.


You need to massage after treatment.

Things to consider about a Hand Rejuvenation Treatment

The treatments above are all injectables most of them are classed as dermal fillers.

When considering these treatments it is important to be aware of the aftercare, pre-treatment advice and possible side effects.

You can view more general information about dermal filler treatments here. 

Other Treatments for Hand Rejuvenation

Dr Teri also recommends:

Sunscreen of at least SPF 30 to reduce photoageing.

IPL for the treatment of pigmentation spots, Obagi or ZO prescription skincare to reduce / prevent further pigmentation and even skin tone.