I wish I could do something for my aging hands.
YOU CAN! There are treatments to address the elements of the aging hands. Hands are the “tell-tale” parts of the body that are visibly noticed and people do nothing about that. Part has to do with the fact that people do not know of the available treatments. Fat can be added to replace the loss of volume that occurs in the hands over time. A 35% TCA peel can be applied to the top of the hand, wrist and forearm to help reduce the blemishes and brown spots that occur as a result of years of sun exposure. Repeat treatments can totally eradicate them. For areas that are lighter in color Hydroquinone cream can be used to lighten those areas. I prescribe hydroquinone 6% or 8%. Those strengths must be filled at a compounding pharmacy but work very effectively. If there is significant skin excess of the hands as a result of loss of elasticity skin can be strategically removed with incisions that heal extremely well and tighten the hand. For mild to minimal tightening devices that employ radiofrequency and laser can also be used. Instead of fat fillers commonly used in the face or other parts of the body can be used for the hand as well but they are not as stable in the hand and permanent as fat. The loss of skin thickness and elasticity that occurs in the hand with increasing age cause progressive visibility and prominence of veins of the topside of the hand. Those can be removed easily in the office under some topical anesthesia and without cutting the skin. They can be burned with a simple needle. Another but less popular option for the prominent veins of the hands is injection sclerotehrapy.
John M. Anastasatos, MD, FACS
Board Certified Plastic Surgeon in Beverly Hills