How can a young woman fix old dark creepy looking hands? (photos)

Question

I have the worst aged looking hands on the planet. I'm only 27 years old but my hands looks like a creepy. I noticed my hands were aging when I was about 21 yrs old. They are very wrinkled, dry and dark. There is also a line where the darkness and wrinkles start. I've tried every thing from suncreen to oils, gloves at night, lactic acid peel, oils again, collegen pills, creams, moisturizers I MEAN EVERYTHING. What's is this? Is there any type of cosmetic surgery I can get? Was I cursed as a kid

Stanley Okoro, MD · Answer

Thanks for your question and the photos your provided. You need to have redundant, looser skin around joints so you can bend your wrist and move your fingers. Your skin appears within normal limits. Around the age of 30 we stop producing collagen naturally, so at that time I you may consider microneedling like Morpheus to build collagen/elastin in your skin. Make sure you consult with a board certified plastic surgeon at that time, good luck!

Trent D. Douglas, MD, FACS · Answer

Thank you for your question and submitting your photos.  There are two main goals for hand rejuvenation - improve the texture and quality of skin and secondly to replace lost volume.  Sometimes these are separate and sometimes both goals need to be addressed.  I generally start with a series of fractionated carbon dioxide laser treatments to improve the texture, skin tone, and quality of skin.  If additional volume is required after the laser series, then I find it reasonable to talk about using filler to address the volume loss.  The video shows how quick and easy the laser treatments using the Swift Hand Scanner can be.  Best wishes on obtaining a great result!

Jason Emer, MD · Answer

You have a few options. Hands can be improved with fillers very easily, and I love combining this with fraxel laser to tighten and improve texture. Belotero and Radiesse give natural looking results. More permanently you can have fat injected and/or even sclerotherapy of the hand veins.  I suggest seeing a cosmetic dermatologist with expertise in hand rejuvenation to go over the recommended timeline.  Best, Dr. Emer.

Brian A. Pinsky, MD, FACS · Answer

Thank you for your question.  Hand rejuvenation has gained in popularity over the past several years.  The hand age in a similar process to the face, or other parts of the body.  Your main complaint seems to be one of skin texture and coloration.  I would look into any potential allergen that you may come in contact with that could be contributing to the dryness.  Many components of our daily life contain pigments, fragrances, or dyes that can cause a skin reaction including any products that may contain latex.  Avoiding these exposures may be a good first step.   I would start with a topical regimen that is retinol based with a good quality moisturizer.  I really like the ZO products, and recommend them.  You can consider injection with a filler such as Radiesse, but volume loss should not be the main issue in someone your age.  Best of luck!

Rosalind Jackson, MD · Answer

It looks like your hands would work best with skintyte with the BBL laser.  I would also recommend an anti-aging cream with a combination of Retin-A, Hydroquinone and Kojic acid.

Rekha Tailor, MBChB · Answer

Many thanks for your question and the attached photographs. 
The hands can be very easily and quickly rejuvenated with the use of dermal fillers. Dermal fillers can be injected into the hands, which will immediately make them look plumper so that bones, tendons and veins are not visible. This is a very simple, quick and painless procedure. There is no real recovery time needed. I find that a filler called Radiesse, which is a calcium based filler works best. 
You could also consider improving the quality of the skin by using prescription grade skin care along with a course of gentle skin peels.
I would recommend that you avoid laser treatments since i feel that it would make the pigmentation on your hands worse. 
Please see a qualified medical practitioner with experience and good luck.

Arbella Sarkis, MD · Answer

Thanks for the pics, they don't look so creepy:) However, I can certainly understand your desire for a more youthful appearance. 
Not much in favor of fat transfers because if or when they go wrong, they're a pain to correct. Filler such as Radiesse are certainly an option. I believe your best option lay with regenerative therapies that will rejuvenate your skin and sub tissues.
I suggest locating a physician that employs PRP, Microneedling, Radiesse and good topical products used for scar treatment that are loaded with growth factors. 
Given the darkness of your skin I would avoid lasers as they will possibly worsen your hyperpigmentation. RF treatments may also help tighten the skin, but tend to relax quickly if you don't reinforce with new collagen. That can be accomplished with microneedling. 
There are new things coming out all the time. Just came back from a conference this weekend wherein a couple new procedures would certainly help you. Regrettably, they're so new I have no idea as to where to send you in your area. Nonetheless, its generally better to let others first try new procedures and see that they prove out.
I do recommend not bothering with the over the counter remedies unless recommended by a physician. Go to an aesthetic medical professional to receive solid medical support that works. You may still need to try 2 or 3 things, but there will be a combination therapy that works for you.
Wishing you all the best and that you find a solution that works for you. 
Warmly,
Arbella Sarkis, MD 
.

Michael S. Mall, MD · Answer

Thank you for your picture and while I appreciate your concerns, you are not cursed.  There are a number of treatments that can restore volume and youthfulness to your hands.  You may want to consult with an injector specializing in Radiesse hands, a temporary calcium based filler and a series of  Laser Genesis to help restore collagen as well as pigment.  Best wishes!

Aurora DeJuliis, MD · Answer

You have many options to rejuvenate your hands. First get a consultation with an experienced aesthetic medicine physician with expertise in hand rejuvenation. Radiesse is a FDA approved product you might want to explore and gives you very natural results. But you are really young to experience volume loss in your hands. To improve the skin consider light chemical peels, medical microdermabrasion, bleaching agents and sun block. Do not underestimate the value of a good diet with plenty of fatty acids along with Ascorbyl palmitate, zinc, krill oil for a long term overall skin health.

Kevin R. Hanz, MD · Answer

Hand Rejuvenation has become very popular in the last several years.  Many more patients are familiar with facial rejuvenation.  The approach is similar.  I identify the issues that need to be addressed.  This may include volume loss, thin skin, discoloration or even skin laxity.  We then tailor the treatment to address those concerns.  Treatment options include volume replacement (fillers and/or fat), laser, chemical peels or even surgery.  I would be happy to see you for a free consultation and help you better understand your treatment options.

How can a young woman fix old dark creepy looking hands? (photos)

Answers (11)

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Answers (11)

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