Fat Transfer or Filler help my hands? (photos)

Aging hands are related to the skin changes that come from loosing the volume that comes naturally with aging, accentuated in smokers or chronic sun exposure. A great way to improve this is with fat transfer in the right planes and amounts performed under local anesthesia. It is a simple procedure if performed correctly and improves not only the volume loss but maybe because of the stem cells in the fat I have seen it improves the quality of the skin. In the few cases that the fat does not remain as usual it can be repeated easily. 
The use of fillers is another option and it can be done if your surgeon has the right experience with permanent fillers like Bellafil. Poorly performed it can cause lumpiness.

Fat transfer will last longer, but is associated with more risks like infection and anesthesia risks. The fillers have less risks but do not last as long and requires injections for maintenance. This will build volume and hide the prominent veins. Then you may need some mild skin resurfacing with IPL or micro-needling.

See an experienced board certified plastic surgeon for best results. 

Best wishes, Dr. ALDO