Melbourne Hand Surgery 

Coronavirus update: We will be closed on Wednesday 8 April, but will reopen at 8:30am on Thursday 9 April. 

Melbourne Hand Surgery has mechanisms to protect our patients and staff while we continue to provide healthcare services. All consultations are now conducted via telehealth (phone or videoconference), except where we have previously confirmed the requirement for an in-person physical examination or wound care management.  Only emergency surgery is being conducted in hospitals for the foreseeable future, in keeping with Government directives. 

Due to the change in circumstances we will be closed on Fridays until further notice. If our practice is unable to physically open for business at any point in the coming weeks or months we will communicate this to existing scheduled patients via email and SMS (please do not attempt to reply other than with Y or N to an SMS, as the automated system does not facilitate this). Incoming telephone calls and receipt of voicemail messages may be temporarily affected by such a change. We will use this website banner to update you on changes to our practice and the availability of non-urgent procedures and surgery in the weeks and months ahead. Thank you for your understanding as our entire community works through these unprecedented and rapidly evolving times together (last updated: 4 April 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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