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

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 :)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

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!

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

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!

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 

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).

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

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.

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.