Aging Hands

Hands tend to give things away. You can take great care of your face, but your hands are still out there every day, exposed to sun, weather, and constant use. Over time, they can start to look thinner, more lined, or more spotted than you’d expect.


Aging hands are extremely common and completely normal. For many patients, treating the hands is about bringing them back into balance with the rest of their appearance, not making them look “done.”

At a Glance

Key Insight

Hands often age faster than the face

Common Concerns

Volume loss, spots, visible veins, crepey texture

Goal

Hands that match the rest of your appearance

Learn More

Aging hands refer to the visible changes that occur in the skin and structure of the hands over time.

These changes can include:

  • Thinning skin
  • Loss of volume (hands appear bony)
  • Increased visibility of veins and tendons
  • Wrinkles and crepey texture
  • Brown spots and pigmented lesions
  • Overall aged appearance

 

There is very little fat on the back of the hands, and they’re constantly exposed to the sun. As we age, we naturally lose fat in our hands and the skin loses collagen and elastin. The combination of these factors may lead to your hands aging faster than your face.

Hands are constantly exposed and rarely protected as consistently as the face.

Sun exposure: Sun damage is one of the major causes of aging hands. Many people take the time to apply sunblock to their face and neck daily but forget about their hands. Years of unprotected sun exposure leads to pigmentation, texture changes, and accelerated aging.

Very little natural fat: There is very little fat on the back of the hands to begin with. As we age and lose what little fat exists, veins and tendons become more prominent.

Collagen and elastin loss: Like the face, the hands lose collagen and elastin over time. But because the skin is thinner here, these changes become visible sooner.

Frequent washing and environmental exposure: Constant hand washing, exposure to chemicals and cleaners, and daily wear and tear all contribute to skin damage.

Reduced oil production: As we age, the skin produces less oil, leading to dryness and crepiness.

Over time, these factors lead to changes similar to those seen in aging skin, but often more pronounced due to environmental exposure.

Are your hands making you look old? Aging hands can create a noticeable mismatch between the hands and the face.

Patients often say their hands:

  • Look older than their face
  • Appear bony or thin
  • Show spots or veins more prominently
  • Make them self-conscious when gesturing or shaking hands
  • Don’t match the work they’ve put into their face

 

These concerns are very common. Addressing aging hands is usually about restoring softness and improving skin quality — bringing them back into balance with the rest of your appearance.

A consultation at Lazaderm is focused on education and thoughtful planning.

During your visit, your provider will:

  • Assess skin quality, volume, and pigmentation on your hands
  • Determine which concerns are primary (volume loss, texture, spots, or combination)
  • Review your medical history
  • Discuss treatment options and realistic timelines
  • Explain how hand treatments can be combined with face/neck treatments at discounted prices

 

You’ll have time to ask questions and decide what feels right for you.

Treatments for aging hands provide improvement, not permanent change.

What to understand:

  • Results vary based on skin quality, age, and degree of change
  • Volume restoration with fillers typically lasts 12-18 months
  • Pigmentation treatments may require multiple sessions
  • Maintenance treatments are recommended over time
  • Sun protection is essential to preserve results

 

The goal is hands that look smoother, healthier, and more consistent with the rest of you.

Treatment Options

The most effective approach depends on which changes are most noticeable — whether that’s volume loss, skin texture, or pigmentation. Many patients benefit from combining treatments for comprehensive results. BroadBand Light, Halo, MOXI, Vivace, and filler treatments have all been used successfully on the hands.

Sun Protection — Protect Your Investment

If you’re going to take the time and spend the money on treating your hands, make sure to protect your investment.

Daily sunscreen: Apply broad-spectrum SPF 30+ sunscreen to your hands every day — not just your face and neck. We prefer the EltaMD line of sunblock for daily use.

Reapply after washing: Unlike your face, you wash your hands multiple times a day. Reapply sunscreen or keep a tube at your sink as a reminder.

Why it matters: Sun damage is one of the major causes of aging hands. Do NOT forget about your hands when applying daily sun protection.

Skincare for Hands

Daily skincare plays a major role in maintaining results and preventing further damage.

Daily moisturizer: Using a daily moisturizer will benefit your skin and help maintain hydration and barrier function.

Vitamin A derivatives: It’s also OK to use vitamin A derivatives on the hands, such as retinol or tretinoin. These help improve skin turnover, texture, and collagen production.

Medical-grade products: Your provider can recommend specific hand creams and treatments to support your results.

Dermal Fillers for Volume Restoration

When hands appear thin or bony with prominent veins and tendons, dermal fillers can restore a more youthful volume.

How it works: Filler is injected into the back of the hands to restore lost volume. This plumps the tissue, making veins and tendons less visible and creating a smoother, fuller appearance.

Products used:

Results:

  • Immediate improvement in volume
  • Hands appear smoother and less bony
  • Results typically last 12-18 months depending on the product

Best for:

  • Volume loss with visible veins and tendons
  • Bony, thin-looking hands
  • Patients who want immediate improvement

Fat Transfer

Fat transfer offers a longer-lasting option for restoring volume to the hands.

How it works: Fat is taken from areas such as the abdomen or flanks and injected into the hands. This restores natural volume using your own tissue.

ALMI procedure: There is a newer process called ALMI (Autologous Lipocyte Micronized Injection) that is showing significant benefit for adding volume to the hands. The ALMI procedure adds volume back into the skin but also appears to help the skin quality improve as well — providing both structural support and rejuvenation.

Best for:

  • Significant volume loss
  • Patients who want longer-lasting results
  • Those who prefer using their own tissue rather than synthetic fillers

BBL (BroadBand Light)

BBL can be very beneficial for treating pigmentation and improving overall skin quality on the hands.

For pigmented lesions: BBL targets and removes brown spots and sun damage from the back of the hands, creating a more even, youthful appearance.

Forever Young BBL: Forever Young BBL can also be used to help the skin of your hands develop new collagen and elastin. Regular treatments help maintain skin quality and slow the aging process.

Best for:

  • Brown spots and sun damage
  • Uneven pigmentation
  • Overall skin rejuvenation
  • Maintenance and prevention

MOXI Laser

MOXI is a gentle fractional laser that improves skin tone, texture, and pigmentation with minimal downtime.

How it works: MOXI delivers fractionated laser energy to create micro-channels in the skin, stimulating collagen production and promoting cellular turnover. It treats a portion of the skin while leaving surrounding tissue intact for faster healing.

Best for:

  • Mild to moderate sun damage and pigmentation
  • Uneven skin tone and texture
  • Patients who want improvement with minimal downtime
  • Maintenance between more intensive treatments

MOXI is often combined with BBL for comprehensive results on the hands.

Laser Treatments for Pigmentation

Lasers can effectively target and remove pigmented lesions on the hands.

Lutronic Spectra: The Lutronic Spectra laser can remove pigmented lesions, targeting brown spots and sun damage with precision.

Erbium Laser: The Sciton Erbium laser can be used to remove lesions that are raised from the surface of the skin, such as seborrheic keratoses or other textured growths.

Best for:

  • Stubborn pigmented lesions
  • Raised spots or growths
  • Patients who want targeted removal of specific spots

Chemical Peels

Chemical peels can be beneficial for improving crepiness and pigmentation on the hands.

How they work: A chemical solution exfoliates the outer layers of skin, stimulating new cell growth and improving overall texture and tone.

Best for:

  • Crepey texture
  • Mild pigmentation
  • Overall skin quality improvement
  • Supporting other treatments

Vivace RF Microneedling

The Vivace can help with crepiness by inducing new collagen and elastin formation.

How it works: Vivace combines microneedling with radiofrequency energy to stimulate collagen and elastin production in the deeper layers of skin. This helps thicken the skin and improve texture.

Important note: Vivace will help thicken the skin and improve crepiness, but it will not help with loss of volume. For volume concerns, fillers or fat transfer should be considered alongside Vivace.

Best for:

  • Crepey, thin skin texture
  • Improving skin thickness
  • Patients who want to improve skin quality
  • Combination with fillers for comprehensive results

Combination Approach

Most patients achieve the best results by combining treatments based on their specific concerns.

Volume + Pigmentation: Fillers for volume restoration + BBL or laser for brown spots

Volume + Texture: Fillers for volume + Vivace for crepiness and skin thickening

Comprehensive Rejuvenation: Fillers + BBL + Vivace for volume, pigmentation, and texture all at once

Add to Face Treatment: We offer discounted prices for adding hands and/or neck to your face treatment. Ask about combination pricing during your consultation.

Talk With a Provider Near You

If aging hands are something you’ve been noticing or thinking about addressing, a consultation can help you explore your options. Don’t forget about your hands — they deserve the same attention as your face.