Melbourne Hand Surgery 

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Latest news: Elective hospital surgeries are now unrestricted and we have options to book prior to Christmas. You no longer need to have a COVID test prior to hospital admission. Dr Tomlinson is operating at The Avenue and Glenferrie Private; Epworth Cliveden is indefinitely closed at this time. Our offices will be closed from 21 December 2020 until 10 January 2021 inclusive.

All suitable consultations at Melbourne Hand Surgery are currently conducted via telehealth at our dedicated virtual clinic to maximise patient and staff safety. We have implemented enhanced hygiene measures in our rooms including acrylic screens, masks, hand sanitiser, face shields and physical distancing-related changes. We require that all patients provide a referral prior to booking an appointment so that urgent and emergency conditions can be identified and managed in a timely manner, and so that our surgeons can assess your suitability for a telehealth appointment and identify any further information or tests that might be required before your consultation.

Victorians are in this together and together we will get through this. Thank you for your understanding as our community works through these unprecedented times together (last updated: 24 November 2020).

The Aged Hand

What does an ageing hand look like?

The hand is constantly exposed to environmental factors which can accelerate the ageing process. The ageing process must be understood if hand rejuvenation is to be optimally targeted.

elderly handsHand ageing is a three-dimensional process involving bone and subcutaneous tissues as well as the skin. The dermis in the skin becomes thinner. Loss of dermal thickness and atrophy of the subcutaneous tissues makes the veins more prominent, tortuous and blue in colour. Age spots become more common, as do pigmentation irregularities. The tendons become more obvious, even at rest. The fibres of the tendons may become visible. The skin becomes thin and wrinkled with reduced elasticity. The muscles become more wasted, leading to hollowing of the hand and a more prominent appearance of the joints. Arthritic nodules can further emphasise the prominence of the joints.

What does a youthful hand look like?

hand holding flowerThe healthy, youthful hand has a subcutaneous fullness with soft skin and no wrinkles except for flexion creases over the finger joints. Veins may be visible, especially in slender and athletic individuals, but their blue colour is subtle. Tendons are often visible, particularly when the fingers are extended, but subtly so. Fullness of the skin and tissues creates volume, so the hand does not look bony.

FRACS

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