Arms

Fig. 14.1

The Cefalic and the basilic vein of the arm. Reproduction of a lithograph plate from Gray’s anatomy (Henry Gray, Anatomy: Descriptive and Surgical)

14.2 Pitfalls

Arm examination and identification of the major superficial vessels is useful to avoid hematomas. The needle is introduced just some millimeters under the skin plane. Avoid too superficial injections, in particular in the epidermidis: In this case, small lumps might form that will disappear in a few days.

14.3 Arm’s Treatment with Low-density HA

14.3.1 Indications

Multiple injections of low-density HA provide skin hydration and improvement in skin’s structure and elasticity. It can be a preventative treatment for skin that is still in good condition like in younger patients and to reduce the fine lines.

It’s useful to underline that if the problem is a very loose skin or abnormal fat deposal it would be unlikely to achieve a satisfactory result using only this approach. Hyaluronic acid injections will be supported by other means as radiofrequency, infrared or surgical approach with the excision of the loose skin to help smoothen and tighten the arms.

14.3.2 Contraindications

In patients with coagulation defects or on current anticoagulant therapy the treatment is relatively controindicated. As with all injections in fact these subjects are at increasing risk of bleeding and ematoma formation.

The filler should not be injected in areas that lack sufficient blood supply or have an infection or inflammation.
No injection should be done if the hand has been previously treated with liquid silicone or other permanent fillers because a new injection could lead to inflammation or infection of the implants.
Any hypersensitivity to any components of the filler obviously constitutes a contraindication for the treatment.