Does it add plumpness to old hands? Does it take away age spots?
Laser Genesis is a more superficial treatment so it tends to break up very surface pigment issues and redness. On the hands, often times the pigment is much deeper so treatments like IPL or even some liquid nitrogen are needed to get to the deeper pigment problems. For hands treatments I usually do IPL with laser genesis for 2 treatments, followed by liquid nitrogen, and then repeat the series again. If you are looking to replump the hands with volume, fillers would be much better and more impactful than IPL or Laser Genesis. The collagen creation with those are minimal. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."