Recent posts

Welcome the New Halo Laser!

Welcome the Halo Laser to our Renton Clinic!
Pacific Dermatology & Cosmetic Center is happy to announce the newest arrival to our state-of-art laser suite. 

Limited Time...Pick one of the packages below for an exclusive offer that ends June 15 and be the first to get your Halo Glow!

Package 1: Purchase one treatment area of your choice and receive the second treatment 50% OFF


(Savings of up to $750) 

Package 2: Purchase any treatment area and receive chest, neck or hands for FREE 

(Savings of up to $750) 


Over time, your skin can lose its youthful glow. Halo eliminates years of damage by precisely targeting the right depth. Halo restores the luminous glow you had when you were younger with minimal downtime.

Halo precisely targets years of damage to your skin, including: Discoloration, Sun damage, Visible signs of aging, Uneven skin tone, Enlarged pores, Poor texture, Fine lines, Scar revision 

Everyone's skin is different. Everyone's needs are different. Halo allows Dr. Erica Linnell to customize your treatment to the downtime you have available and the results you want. Need to be back at work tomorrow? A light treatment creates silky smooth, vibrant skin that's ready for makeup the next day. Want to wow them? A more aggressive treatment will give your skin a deep youthful glow with just a few days of downtime. Ask Dr. Linnell today about the Halo Glow.

Younger Looking Hands: Filler vs. Fat Grafting

Taken from a RealSelf interview with Dr. Jennifer Reichel

Dr. Jennifer Reichel who practices in Seattle says she believes that patients get better results if they use fat injections.

RS: What is your preferred method of adding volume back to aging hands?

Dr. Reichel: If the patient is willing to undergo the fat transfer, I certainly prefer it as a filling agent. I do use a lot of radiesse in the back of the hands because it’s very easy to do, the patient just comes in and you don’t have to worry about doing the liposuction procedure. It can look nice as well, but I personally prefer the fat.

RS: How is it done?

Dr. Reichel: For fat transfer in the hands you do a mini liposuction procedure where you remove the fat from the individual that you’re going to treat. Usually I remove it from the abdomen, it’s an easy place to get really nice fat for transfers. You insert a large volume of local anesthetic to numb the area, and you remove the fat using a very small canula and a syringe. Then you take the fat cells, and we have a special process where we spin them down and so it gets just the fat and you don’t have all the extra fluids. We store can store the fat in a freezer system for up to two years, and then for injecting it into hands it’s really easy to undergo.

I numb the back of the hand with a little bit of lidocaine, and then I attach the syringe with the fat in it to a small canula and insert the fat. The fat moves really easily through the tissues, and you can spread it throughout the hand. It’s a really great filler for hands, because unlike some of the other fillers it’s very malleable. Fat is the same viscosity as our underlining tissues, whereas the other fillers are a little more thicker and don’t move around quite as easily. You just inject it in there and it’s pretty instant. You may get a little swelling for about three or four days and that’s as far as side effects go.

RS: How long do they last?

Dr. Reichel: It depends on the individual. So the first time I usually do it I tell people they are going to need to return for a second transfer done somewhere between 3 and 6 months later, and then maybe a third at the same interval. Then at the end of the two year period of time we contact the patient before their fat expires and ask them how they’re doing and invite them back in for a final transfer. So usually people undergo somewhere between 2 and 4 treatments in that two year period of time. If you look at the text books they say that fat can last anywhere between 2 and 8 years. I’ve seen it where it’s been 10 years later and that patient still has really nice filled hands, then some other patients it only lasts about a year or so before they need to undergo the process again.


Before and after photos of Dr. Reichel’s patients who used fat transfer to restore volume to their hands.

Hand Rejuvenation with Dr. Reichel

How Long Does Hand Rejuvenation Last?

Thank you,



Dear P,

There are different types of hand rejuvenation, and it depends on what your needs are. If your primary concern is for pigment spots on your hands, then the options can be as simple as topical retin-a and hydroquinone (which are great for maintenance if you are doing another treatment like laser). It can also include light devices like Intense Pulse Light, or lasers like the Fraxel Dual, or a CO2 laser. Needs are based on what your particular hands look like. As far as how long the results last, the most important thing is to keep your hands out of the sun-shine. If you use maintenance topical medications and good sun protection, you may not need a touch-up treatment for many years.

If your main concern is volume loss in the hands, then this can be treated with Fat Transfer to the hands (my favorite), or with a filler like Radiesse. These do need to be repeated. For fat transfers, we will take out much more fat than is needed in one setting, and we will store it in a freezer system. We can store it for up to 2 years. We will often do 3-4 treatments in that time. The hope is to have some permanent results. I have seen this. Fat injections will, amazingly, also improve the texture and thickness of the skin.

Please come in for a consultation with me. Remember to mention RealSelf for the consult at no charge. 206.859.5777

Thank you so much.

Dr. Reichel

Pacific Dermatology & Cosmetic Center

Seattle, WA

How You Can Have Younger Looking Hands

Request an appointment

Thank you for choosing Pacific Dermatology & Cosmetic Center, we look forward to providing you with the very best skin care.