The Part of You Nobody Treats
Hands age faster than the face and get a fraction of the attention. They are also one of the first places people read your age.
Two Different Problems, One Pair of Hands
Hand aging runs on two separate tracks and they need separate answers. The first is the surface: sun spots, freckling, dryness and a crepey quality to the skin that comes from years of ultraviolet exposure nobody ever thought to protect against.
The second is structure. Fat under the skin on the back of the hand thins with age, and when that cushion goes the tendons, knuckles and veins underneath become prominent. No amount of resurfacing fixes that, because the problem is not the skin.
Treating one and ignoring the other is why hand treatments disappoint people. We assess both at the consultation and tell you which one is actually driving what you see in the mirror, because in most cases it is one more than the other.
A Good Fit If Any of This Sounds Familiar
We will tell you honestly which of the two tracks is driving it, and whether one treatment or a combination makes sense.
Four Steps, Start to Finish
We Look at Both Tracks
Surface and structure are assessed separately, because the answer is rarely the same for both.
We Pick the Approach
Resurfacing for pigment and texture, a biostimulator or fat transfer for volume, or both in sequence.
Treatment
Done here, usually in under an hour. Hands are a small area and tolerate treatment well.
We Judge It Later
Pigment moves first. Volume and skin quality take months, and that is when the plan is reviewed.
Sequence Matters More Than Product
Volume before resurfacing, or resurfacing before volume, is not an arbitrary choice. We plan the order before anything starts.
Pigment First, Structure Later
Why Hands Are Harder Than Faces
The skin on the back of the hand is thin, has very little subcutaneous fat even in youth, and sits directly over tendons that move constantly. There is no deep soft tissue to hide behind, which is why results there are less forgiving than on the face.
That same anatomy is why volume has to be placed carefully and conservatively. Overcorrection on a hand is immediately visible and does not settle the way it can elsewhere. We would rather place less and review you than chase a result in one appointment.
Hands also carry a lifetime of sun exposure that most people never counted. Any pigment we find gets looked at properly before it gets treated, because a lesion that is not simple sun damage needs a different conversation, not a laser.
What People Ask Us First
Indirectly, in most cases. Prominent veins and tendons are usually a volume problem rather than a vein problem, and restoring the cushion over them softens how much they show. True vein treatment is a separate conversation and we will tell you which one you need.
Pigment clearance lasts as long as you protect the area, which in practice means sunscreen on your hands and not just your face. Volume lasts in the range of a year or more depending on what is used. Neither is permanent and we will not pretend otherwise.
Hands are more sensitive than most people expect, so we numb the area properly before anything begins. Most patients describe it as very manageable.
Often, yes, and it is usually the sensible way to do it. We will confirm at the consultation once we know which approach each area needs.
Yes, and this matters more than people want it to. Treating pigment and then putting the same hands back in the sun undoes the work. We will be specific about how long and what to use.
Often Considered Alongside This
Stop Hiding Your Hands.
Come in and we will tell you whether what is bothering you is surface, structure or both, and what each one would actually take.
