How do I get rid of wrinkles on my fingers and knuckles? (photos)

Question

I am only 33 and have deep wrinkles on my knuckles and fingers. For the last year I have been doing this new gel treatment on my nails instead of acrylics so my hands are under the UV light for a very long time. I recently noticed my hands and I will no longer have this treatment done. I am not certain this is the whole reason for the wrinkles but it is definitely contributing. What are my best options? Laser, fat transfer or fillers? Please help this is really bothering me!

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

Hi Jessie. The hands can be rejuvenated with a combination of fillers like Radiesse and Belotero, fat grafting with platelet-rich plasma (PRP) and lasers like Fraxel. I recommend getting a formal evaluation with a cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer

Eric M. Joseph, MD · Answer

Your association of UV light exposure with gel nail treatments is interesting, and may be true. UV light is associated with loss of skin elasticity and wrinkling. Unfortunately, I'm not sure how to advise you other than use of SPF and a good hand moisturizer. We have no experience with injectable fillers for the treatment of hand wrinkles - fillers may help with camouflaging visible veins and tendons that may be associated with aging. Fat grafting is not likely to be helpful. Laser resurfacing  Wishing you well. Dr Joseph

Charlotte Woodward, MBChB, MRCGP · Answer

As you have rightly
suggested, it is likely that UV lights will have affected the condition of the
skin on your hands, and I would certainly recommend you decrease/ ideally stop.  I would also suggest you use a sun screen on
your hands to ensure that you protect your skin.   With
fat transfer, some of the tissue is living, and as such won’t survive the transfer,
additionally, repeated treatments are sometimes needed to get a smooth
result.  At our clinic we use Ellanse
dermal filler to treat the hands with tremendous success.  Ellanse stimulates the body to create collagen
after the initial filling gel has been absorbed by the body.  In this way, the effects of the treatment are extremely natural looking and can last up to 2 years.  Because your own collagen is being stimulated
this also improves the quality and texture of the skin making it more supple.

Sergio Verduzco Casillas, MD · Answer

I sill choose Co2 fraxx its a great collagen stimulator. you will love it from the first treatment until the last one.

How do I get rid of wrinkles on my fingers and knuckles? (photos)

Answers (5)

Answer: Treating the hands

Answer: Treating the hands

Answer: Laser

Answer: Laser

Recommended reading

Everything you need to know about Hand Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.

How do I get rid of wrinkles on my fingers and knuckles? (photos)

Answers (5)

Answer: Treating the hands

Answer: Treating the hands

Answer: Laser

Answer: Laser

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Recommended reading

Everything you need to know about Hand Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.