What would be the best way to rejuvenate my hands? Should I address the veins or add fat? (Photo)

Hello and thank you for your question! Hand rejuvenation is so important, and often overlooked. In our practice, a combination approach targeting skin quality, volume loss, and overall texture is highly effective.

1. DefenAge 10 Luxe Hand & Body Cream
Why It Works: This cream is formulated with Defensins, which stimulate skin's natural repair processes and improve texture, hydration, and brightness. This is the only product on the market that actually creates *new* skin. It’s excellent for addressing crepey skin and promoting a more youthful appearance over time.

2. RF Microneedling
Why It Works: RF microneedling combines radiofrequency energy with microneedling to stimulate collagen production, tighten skin, and improve texture. It’s ideal for addressing crepiness, fine lines, and thinning skin on the hands.

Treatment Plan: Typically, 3-4 sessions spaced 4-6 weeks apart provide noticeable improvements. Maintenance sessions can be done annually.

3. Soft Dermal Fillers
Soft fillers can restore lost volume, smooth out visible veins and tendons, and improve skin hydration. Options include:

Versa (Hyaluronic Acid-Based Filler):

Adds subtle volume to the hands, minimizing the appearance of veins and tendons.

Typically lasts 6-9 months in this area.

Skinvive by Juvederm:

Focuses on improving skin hydration, elasticity, and glow without significant volume. Ideal for enhancing skin quality.

RHA Redensity:

Provides natural hydration and volume with a smooth, skin-like finish. Great for hands requiring a delicate approach.

Treatment Plan: Results are visible immediately, with peak results after 2-4 weeks. Expect touch-ups every 9-12 months for maintenance.

Combined Approach:
Step 1: Start with DefenAge Hand & Body Cream to improve skin texture and hydration over time.

Step 2: Introduce RF microneedling to address crepiness and tighten skin.

Step 3: Use soft fillers to restore volume and enhance overall hand rejuvenation.

This holistic approach addresses both skin quality and volume loss for a comprehensive rejuvenation plan. A consultation with an experienced injector can determine the best filler option based on specific anatomy and goals.

Best of luck!

Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS at Center for Classic Beauty, Boston, MA

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

Renuva can help rejuvenate your hands. This new injectable treatment addresses age related volume loss by gradually replenishing the area with your own fat. This is different than a fat transfer. There is some immediate improvement, and the correction will continue over time adding to your results. See an elite injector or my website to learn more.