I'm 20 and have very wrinkled knuckles. It's very unattractive. What can I do about it? (photo)

Treatments for wrinkled hands will include resurfacing options and possibly fillers or skin tightening devices.
For you, your "wrinkled knuckles" are genetic - not from aging or excess sun exposure. I recommend:
1. Keep your hands out of the sun. This will help a lot for your future.
2. Keep your hands well moisturized. I like aquaphor in the winter, and a good hand cream for summer months. The brand is less important (spend the $ on the procedures, not on a super expensive cream). What's important is using the moisturizer often during the day.
3. Resurfacing.
- You can use Retin-A (tretinoin) on your hands to help exfoliate the thicker more creased skin. I think this is a great idea for you.
- Laser treatments like the Fraxel Restore or even a C02 laser like Lumenis Total FX. You will likely need more than one treatment. But I think this will help.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi there. You have beautiful hands. All you need to do at this st(age) is to make sure you are drinking enough water to stay hydrated and also, you are using good moisturizer (make sure o use SPF during daytime in order to avoid pigmentation/dark spots)