Aging of the hands is usually due to two main factors: thinning of the skin (dermis) and subcutaneus fat, as well as pigmentary changes.

To deal with the thinning of the skin and fat, there are two main options: Fat injections, or injections of fillers. Fat injections can work very well, but have the downside of prolonged edema (swelling) as well as the potential for lumpiness, and need to add more fat at a later time. With the advent of fillers, the same result can be achieved quickly and easily, with minimal risk and no discomfort.

The pigmentary changes can be dealt with either peels, laser therapy, or creams.

The thinning for the dermis and subcutaneous tissues are usually the first sign of the aging process of the hands and can start in our early 30's. Fortunately pigmentary changes happen later on, especially if we protect our hands from the sun by wearing appropriate sunblock.