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Fat Grafting to Hand

What is Fat Grafting to Hand?

The hands are one of the most visible parts of our body, and they are impossible to hide. Just like the face and the chest, the hands are visible markers of the aging process. Loss of fat in the hand results in visible veins and tendons and a loss of youthful fullness. Chronic sun exposure results in hyperpigmentation (“sun spots”) and dry texture. Fat grafting to the hand is performed to replace the fat in the hand that has been lost over time. The goal is to create a fuller and more youthful appearing hand.

Who is a candidate for Fat Grafting to Hand?

You may want to consider fat grafting to the hand if you have:

  • Loss of fat in the back of the hand contributing to an aged appearance of the hand
  • Visible veins and tendons on the back of the hand that contribute to an aged appearance of the hand

How is Fat Grafting to Hand Performed?

Fat grafting to the hand is similar to fat grafting to any other area of the body. The amount of fat needed for the hand is small, so the procedure can be done under local anesthesia. Fat from donor areas (e.g. abdomen, flanks, thighs) is harvested with a liposuction cannula. The harvested fat is carefully rinsed and then re-injected into the backs of the hands through small stab incisions. The fat is placed between the tendons to plump up and restore the appearance of the hands. Like all fat grafting procedures, some of the fat will not survive, but about 50-75% of it will survive and remain permanently. An additional 1-2 sessions of fat grafting is usually necessary to completely restore volume loss.

Skin texture and hyperpigmentation can be improved with the addition of laser treatments that will reverse the cumulative affects of prolonged sun exposure. At the time of your consultation with Dr. Rovelo, a comprehensive plan will be created to address all of your concerns with your hands.


All procedures are associated with risks. The risks of fat grafting to the hand include bleeding, bruising, and prolonged swelling. Additional risks include scarring, asymmetry, and need for revisional procedures. It is important to talk with Dr. Rovelo about the risks of your procedure and how the risks can be minimized to provide the best possible outcome.


Fat grafting to the hand is a procedure that can be performed under local anesthesia. The procedure takes about 1 hour and patients can go home after the procedure. Mild swelling is expected for several days but may take up to several weeks to fully resolve.