“De-Aging” the hands is a common topic in my office. Age spots, wrinkled and thin skin, volume loss and prominent veins are all due to aging. Dark pigmentation (age or liver spots) are directly caused by sun exposure. Hands are prone to sun damage, since they absorb extra UV rays when driving. Laser or a series of IPL treatments work well for these spots.
“Plumping” the hands can soften the appearance of volume loss and prominent veins. Direct injection of Radiesse or Juvederm can work very well to add fullness to the hands. Loose or wrinkled skin can be tightened up and improved with a series of light Fractionated CO2 laser treatments.
If your hands have all of these issues, a lot can be accomplished over a relatively short period of time.