
Skin

Skin

20 yrs

50 yrs

60 yrs

70 yrs
"Integrative therapy concept for the aging hand" according to HIERNER- Skin
Prof. Hierner is a pioneer in the field of hand wrinkle therapy.
Based on many years of research and clinical experience in the field of hand surgery, we have developed and successfully implemented a so-called →”integrative therapy concept for the aging hand” in our daily practice.
The goal of treatment is to change appearance while maintaining function. With regard to therapy, the "integrative therapy concept for the aging hand" includes:
• Avoiding or delaying the formation of wrinkles
• Therapy of existing wrinkles
Avoiding or delaying the formation of wrinkles (“Wrinkle prevention”)
The best therapy for age-related wrinkles is to avoid them (excessive sun exposure, smoking, alcohol) and delay them (cosmetic treatment).
From the age of 30, the moisture content of the skin decreases. Small superficial wrinkles appear. The aim of professional cosmetic treatments is to replace the loss of moisture in the skin (“rehydration”). A consistently carried out moisture therapy of the skin with suitable products allows the early age changes – superficial wrinkling – of the skin to become visible later. Deeper wrinkles cannot beremoved with cosmetic treatments.

Therapy of existing wrinkles
For the treatment of existing age-related skin changes in the hand area, depending on the cause(s), several therapy methods are combined with each other and sometimes used in a way that builds on each other. A distinction is made between:
- Conservative and minimally invasive treatment of age changes in the skin area
- Surgical therapy of age changes in the skin area
It is important to understand that the conservative, minimally invasive and surgical treatment options are not competing procedures, but rather complementary forms of treatment.
The key for a successful treatment is a profound analysis of the different age changes of the skin at the hand and wrist:
Structure | Mechanism | Age changes | Clinical symptoms |
Epidermis | Combination of : external (environmental) |
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Dermis |
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Subcutaneous fat |
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Conservative and minimally invasive therapy of age changes in the skin area
With the help of numerous conservative and minimally invasive treatment methods, a significant reduction in age-related skin changes in the hand area can be achieved without surgery. The different methods have different main treatment goals.
The various techniques can be used alone or in combination with other conservative, minimally invasive and surgical treatment methods. Conservative and minimally invasive methods include;
- Skin peeling
- LASER
- Mesotherapy
- Filler
- Autologous fat injection (lipofilling)
- Sclerotherapy of dorsal hand veins:
The young, attractive hand is characterized by a tight soft tissue coat without wrinkles. Depending on the ethnic background, nail polish and jewelry can also
underline the overall picture.

20 yrs

50 yrs
The aging hand: The age-related loss of volume and / or tension in the muscles and subcutaneous fatty tissue, coupled with a loss of elasticity in the skin, and the changes in volume and shape of the bones make the soft tissue layer larger than its contents.

60 yrs

70 yrs
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After
Surgical therapy of age changes in the skin area
With the help of lifting operations, age-related changes in the hand area that can no longer be corrected with conservative and/or minimally invasive treatment methods can be reliably treated.
The various techniques can be used individually or in combination, individually adapted to the needs of the patient. It is also possible to combine these interventions with all other non-surgical (conservative and minimally invasive) wrinkle therapy options.




Prof. Hierner is a pioneer in the field of hand wrinkle therapy.
Based on many years of research and clinical experience in the field of hand surgery, we have a so-called →”integrative therapy concept for the aging hand” for the efficient treatment of age-related changes in the hand area according to HIERNER” developed successfully in our daily practice.
“integrative therapy concept for the aging hand”: Skin

Before

After