– The writer is a  cosmetic surgeonDisclaimer: Always check with a cosmetic surgeon before going ahead with this procedure. The hyaluronic acid is a protein molecule which is made in the lab. Aged hands can be treated using fillers. The most popular fillers for hand rejuvenation are the semi permanent hyaluronic acid fillers like restylane, juvederm, belotero or non hyaluronic acid fillers made up of calcium hydroxyapaptite like radiesse which is still not available in India. Hence as skin becomes less elastic, it forms lines and folds.As we grow older, the collagen in the skin breaks down every year and the rate at which we make it is not enough mascara case manufacturers to compensate for the rate at which it is breaking down. The filler is injected either with a needle or with a soft blunt needle called a ‘cannula’ which causes lesser bruising.Hyaluronic acid fillers have the property of binding water molecules thereby plumping, lifting and filling spaces. The risk of allergy to this molecule when injected is extremely low. You can apply arnica or Vit K cream to avoid bruisingAvoid alcohol for 48-72 hours post injection.When Should one go for this : When you feel your hands are looking drier, the skin over them is looking less hydrated, wrinkly or when you pinch your skin and leave it you can see it takes some time to come back to rest meaning it is less elastic, you can opt for this treatment. Avoid makeup for 24 hours post injection. After injecting all the areas the hand is massaged with a barrier cream to smooth out all bumpy areas.Your hands don’t look as young as your feel? Leave it to hand re-juvenation fillers to do the work for you! A picture of Jennifer Aniston used for representational purposes only Reversing the aging effects on hands may not seem important to all but for some it is. If the lumps and bumps persist after three to four days consult your injecting doctor. Expect some swelling for a few days and sometimes some lumps and bumps may appear.Procedure: After taking consent and before pictures, the skin is cleansed thoroughly and under a sterile technique the doctor injects the filler in the areas of volume loss over the back of the hands. You may require one to four ml as per signs. If there are any concerns like redness, numbness, discoloration consult your doctor immediately.Cost : Price depends on the amount of volume loss or ageing signs. Most doctors charge per ml of filler which can range anything from Rs 20,000 to Rs 40,000 per ml.How long it lasts : The results can last to a year and a year-and-a-half depending on the heaviness of the filler used but also other factors such as smoking, sun exposure, alcohol, diabetes etc will all dictate how soon the filler will be broken down. If there is any bruising immediately ask your doctor who will apply ice and compression. Fillers can be of various kind s– permanent, semi permanent and hyaluronic acid or non hyaluronic acid.Hyaluronic acid fillers can be used wherever there is volume loss to fill in the depths of the folds to plump and lift..  Do’s and Dont’s: Do not touch the area post injection or massage anymore.