Although facial rejuvenation is often the focus, the hands can show signs of aging just as prominently and are much more difficult to conceal.
Common concerns include volume loss, leading to more visible tendons and veins, as well as brown spots and uneven skin tone. Fortunately, these changes can be effectively treated with a combination of in-office procedures.
Volume Loss and Prominent Veins
Volume loss in the hands can make tendons and veins more visible. This can be improved with fillers that restore fullness and create a more youthful appearance.
Thicker fillers, such as calcium hydroxyapatite (Radiesse) and poly-L-lactic acid (Sculptra), are commonly used. Sculptra provides gradual, long-term improvement by stimulating the body’s own collagen production, resulting in progressive and natural-looking volume restoration.
Temporary mild swelling may occur but is usually short-lived.
Brown Spots and Skin Discoloration


Irregularities of skin tone, such as age spots or freckles, may be effectively treated with lasers and laser-like devices.
Intense pulsed light (IPL) targets brown pigment over larger areas, leading to gradual lightening of discoloration. Treated areas may initially darken before naturally shedding over several days to a week.
Individual spots may also be treated with Q-switched lasers, which break up pigment particles for natural elimination by the body.
Treatment Expectations
These treatments are generally well tolerated, and most patients are able to return to normal activities shortly after the procedure.
Some temporary effects, such as mild swelling, redness, or pinpoint bleeding, may occur depending on the treatment used.
In many cases, a combination of treatment modalities and multiple sessions may be recommended for optimal results, depending on the degree of photodamage and volume loss.
Frequently Asked Questions
What causes aging of the hands?
Aging of the hands is caused by a combination of volume loss, sun exposure, and changes in skin quality, leading to visible veins, tendons, and pigmentation changes.
How is volume restored in the hands?
Volume is typically restored using dermal fillers, which help reduce the visibility of veins and tendons and create a smoother, fuller appearance.
Can age spots on the hands be removed?
Yes. Age spots can be treated with laser or light-based therapies such as IPL or Q-switched lasers, which target and break down pigment.
Is there downtime after treatment?
Most treatments require little to no downtime, though mild swelling, redness, or temporary discoloration may occur depending on the procedure.
Hand rejuvenation treatments can restore volume and improve skin tone for a more youthful appearance. Schedule a consultation to discuss the most appropriate options for your concerns.
