Ben Talei, MD
DIRECTOR
Board Certified.
Dual Fellowship Trained.
Facial Plastic Surgeon.

HAND AND FOOT REJUVENATION

Although Dr. Talei is a specialist in facial cosmetic and reconstructive surgery, he has also developed several methods of hand and foot rejuvenation, as this is a common request amongst his patients. Classic signs of aging, which become bothersome to most people, typically include atrophy of the soft tissues in the hand along with pigmentary changes in the skin, often called “sun spots.”

TREATING ATROPHY OF AGING IN THE HANDS AND FEET

The atrophy, or shrinkage of tissues, involves a reduction in volume of mainly fat and muscle. This causes a depression between the bones with a resultant prominence of veins, tendons and bones. Patients complain that this gives them an aged, “skeleton-like” appearance that is very noticeable during their day-to-day activities.

Fortunately, new non-surgical and non-invasive treatments are available to rapidly and easily counteract these signs of aging. Volume augmentation between the bones can be performed using a variety of grafts or fillers. When fat is used, it is harvested easily from the abdominal region in most patients and injected into the hands. This is not as commonly performed as filler injections, however. Filler injections are much easier to perform and have a lower chance of having any irregularities or a recovery period. In order to perform the procedure without any pain or bruising, more advanced techniques such as blunt cannula insertion are used.

Volume augmentation immediately reduces the prominence of veins, tendons and bones and restores a healthy, softer appearance to the hands and feet. The type of procedure performed depends on your skin type and tissue characteristics but would be evaluated during consultation. These treatments take very little time to do, and they require no down time.

TREATMENT OF AGING SPOTS

Sun spots, also known as liver spots, age spots, solar lentigines, lentigo senilis or senile freckles, are spots on the skin of the body which occur with aging and exposure to sunlight. The color can vary from person to person, but they can range anywhere from salmon colored to light brown, red or black. Several effective treatments are available such as creams, laser or IPL (intense pulsed light), excision, cryotherapy, dermabrasion and chemical peels, amongst other modalities. Usually, the simplest treatments are the best.

Creams are of utmost importance. A preventative and a treatment cream should almost always be used. The prevention can be performed using a broad-spectrum sun block (SPF of 30) and moisturizers. Treatment can be performed with creams, which change the quality of the skin. Retinoids (tretinoin) can be combined with mild steroids or synthetic corticosteroids (triamcinolone) to help fade the spots.

Hydroquinone is a bleaching cream and is very important, as it helps fade the spots and ultimately can help keep them from recurring following treatment. Initially, these creams may cause itching, redness, burning or dryness. However, it resolves for most patients after a little time. Steroids should not be used in every patient or for a long period of time, as they can thin the skin in aged hands.

Various lasers and intense pulsed light can be used to target the lesions as well. Any laser, which is highly absorbed by melanin and is absorbed superficially, can be used to ablate the lesions. Following treatment, the lesions typically turn red or dusky then slowly peel off. Intense pulsed light (IPL) is not a laser but is used in the same manner. IPL is one of the most popular treatments as it is widely available and causes little discomfort. Several treatments are usually required. Chemical peels are also very useful in reducing blemishes in the face and hands.

Chemical peels such as trichloracetic acid (TCA) are the most commonly used. The strength of the preparation depends on the skin type and practitioner, but high concentrations should be used only in certain situations. Stronger solutions will produce a deeper peel and require some downtime for recovery. Results will be seen as soon as the superficial layer of skin begins to peel off, and it will improve over the next 1-2 months as the skin reactively forms collagen and other parts of the soft tissue matrix. The risk of skin discoloration is low, but it is higher in darker skinned patients.

Freezing of the lesions (cryotherapy) is also performed by some practitioners. Liquid nitrogen or other agents are used to destroy pigment just as cautery or lasers would. Dermabrasion can be used on other parts of the body, but it is not recommended on the thin skin of the hands and feet in aging patients.

Contact us today to schedule a consultation with Dr. Ben Talei at the Beverly Hills Center for Plastic & Laser Surgery.

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Based on 15 reviews

Peter S.
Literally one of the best facial plastic surgeons in the world. You will NOT regret being treated by this highly skilled professional. He's a mensch, too.
darci t.
I am absolutely ecstatic about my results!!!!!! I am a model and actress as well as an occasional TV host. I have been performing upkeep for my face and lips in Beverly Hills for years and I was convinced I was with the most talented and famous surgeons and dermatologists, but boy was I wrong! One visit with Dr. Talei and my life has changed. He clearly and quickly explained the slow imbalance which had happened in my lips and face over time and we planned for a lip lift procedure. I did this under local anesthesia with no pain at all! He's the ONLY surgeon who can do this with NO scarring. All other doctors I reviewed had scars on at least half their patients. Now all of my friends in plastic surgery and fashion compliment me much more and they have no idea what I had done. This man is AMAZING!!!!
Jennette C.
I went to Dr Talei for under eye filler using Restylane. Dr Talei was very thorough with each step in the process and made me feel very comfortable. The procedure was quick and painless! My under eyes have always been an insecurity for me and when I looked in the mirror after he was done I was beyond impressed with his work. I felt more confident and beautiful. I was able to leave his office and go right back to work! I highly recommend Dr Talei. He's friendly, has a lovely staff and truly cares about making his patients happy.
Lauren F.
My experience with Dr. Ben Talei was very positive. He answered all my questions prior to the procedure and made me feel very comfortable. Before meeting him, I had heard all the rave about his work, and I am so glad I went through with the visit. I was very insecure with my "eleven" deep wrinkles in between my eyebrows, he was very fast and clean with this procedure and I couldn't be more grateful for this minor adjustment that has brought me a major confidence boost. Thank you Dr. Talei
Bryan B.
Ben is a skilled professional. I would have no hesitation recommending Ben and his team to my friends or family. He is passionate about his work and this passion shows in the exceptionally high standard of care that he provides to his patients (both in his practice and in his humanitarian work). You’re in good hands with Ben and his staff!
Danielle B.
I used to see Dr Ben in New York and now I fly to LA to see him. I have no room for error and he is absolutely the only plastic surgeon I trust. Everyone else seems to be out for money. Every time I'm in his waiting room all I hear is praises and how he's the greatest. I completely agree. He's the most talented surgeon I've ever seen. It's worth the flight
Kelly H.
I have worked in health care in Los Angeles for over 20 years and have always hesitated in referring plastic surgeons to my clients. Dr. Ben Talei, MD is in a class of his own. I am so pleased to be able to refer to Dr. Talei without hesitation, and consistently receive outstanding feedback on him. Dr. Talei brings a wealth of experience and exceptional skill, along with cutting edge techniques to his practice. Not only does Dr. Talei excel in every facet of care, but he has also cultivated a warm, kind and patient bedside manner that is second to none. Dr. Talei's office is a dynamic patient focused environment, I urge you to visit him!
Holly K.
Ben is amazing! Was my first time getting botox and it was virtually painless. Marks were gone in minutes. Thanks Ben you're the best!!!