In general, if there is moderate to significant aging, hand fat grafting is definitely Dr. Lam’s preferred method. Hand fat grafting can give you the most “bang for your buck” since it can take quite a bit of fillers to even approximate a hand fat graft result (except for the younger patient with early hand hollowness.) With hand fat grafting he is able to fill even the knuckles and the fingers for a global fill. It should be noted that the recovery with hand fat grafting can be longer, lasting 2 to 3 weeks where the hands may look swollen and bronzed (reddish-brown discoloration). However, fortunately, most individuals really don’t notice hands being swollen and usually it is not as unsightly as one thinks.