What can I do for crepey hands? I'm only 36 and they look so old. (photo)

Question

I asked my detm he said it's part of aging .. Veins I wouldn't mind but the texture is horrible .

Aldo Guerra, MD · Answer

I like to recommend platelett rich plasma and fat grafting to the hands. You can donate both from another part of the body. The procedure is done in the office.Best wishes, Dr. ALDO :)

Andrew T. Lyos, MD, FACS · Answer

Hello and thank you for your question and photos.  The good new is, there are many options to enhance the youth of your hands!  I would recommend a consultation with a board certified provider.  After your consultation, the provider will be best able to give you a treatment plan that will give your hands the rejuvenation that you desire. Our typical recommendations include IPL, skin pen with PRP, euro threads and possibly Radiesse~ this all will be assessed at the consultation.  I hope this information helps you and best of luck!

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!

Jason Emer, MD · Answer

Hands can be rejuvenated with a combination of fillers, fat and lasers. Fillers into this area can improve the appearance of the back of the hands by camouflaging tendons and veins and improving the appearance of her hands and skin by helping lines, wrinkles and folds as well as skin texture due to the long term collagen production. Cannulas prevent bruising and swelling and decrease the pain during injection. Radiesse lasts up to one year, but unlike other fillers, it provides long-term collagen production. This means that even after the filler has dissolved, the area it was injected to is still improved because of the collagen that built.The Fraxel Laser can be used to completely rejuvenate and tighten the skin. After a few days, the skin on her hands will be completely fresh with rebuilt collagen, reduced of any wrinkles and lines, and be much tighter.I recommend getting a formal evaluation with a Cosmetic Dermatologist. Best, Dr. Emer

Donovan Rosas, MD · Answer

Aging of the hands manifest (aesthetically speaking) in skin changes and volume loss. Skin changes may take the form of pigment variations, fine lines etc. Volume loss leads to prominence of the tendons and veins on the dorsum of the hand.I typically treat the skin with Fraxel laser therapy.The mainstays of volume loss correction are fillers. HA's (Juvederm and Restylane) and Radiesse (hydroxyapatite) are the most commonly employed. I prefer HA's for a smoother contour relative to hydroxyapatite, however, compared Radiesse, the effect is shorter lived.I will typically dilute my HA in 1 cc of local anesthetic for a total of 2 cc per hand.Both should be infiltrated superficially. I prefer blunt cannulas to avoid bruising and disruption of dorsal veins. After injection, the product should be aggressively massaged to a smooth contour.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Edgardo Zavala, MD · Answer

In my experience the best treatment for hand rejuvenation if the hands look "bony" is fat transfer. The stem cells in the fat also improve the skin texture. I have seen great results with this type of treatment although some times it needs to be done twice months apart. A permanent filler is another option but that does not enhance skin quality.Best luck

Camille Cash, MD · Answer

You may want to consider Renuva!  It is similar to traditional HA fillers with a big twist.  You will see an immediate effect like you do with fillers, however over time the product is gradually replaced by your own body fat for longer lasting results.  See my website or a provider near you to learn more.

Iacob Marcovici, MD · Answer

According to the pictures a big part of the problem is obviously volume deficit and therefore a dermal filler will compensate for the deficit and restore the hands appearance to a more youthful appearance.

Michael S. Mall, MD · Answer

Thank you for the picture and your hands do not look aged; however, it is great that you are addressing them now.
Options  PRP for your hands, Laser Genesis, Radiesse for hands

Michele S. Green, MD · Answer

Crepey Skin and Hands and noticeable veins are best treated with injections of fillers such as Restylane when combined with lasers such as Fraxel for the fine lines and texture. Please consult an expert in hand rejuvenation for the best cosmetic result.  Best, Dr. Green

What can I do for crepey hands? I'm only 36 and they look so old. (photo)

Answers (17)

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