Are there any effective lasers to effectively treat extremely crepey/wrinkled/loose skin on my hands? (Photos)

Thank you for your question and photos. While much of our attention goes to reversing signs of aging on the face, the backs of the hands can also take a beating. This is an area that is nearly always exposed to the sun and we rarely think about applying UV protection here. As a result, the delicate skin can become thinner, revealing prominent veins and multiple fine lines and wrinkles. In some cases, a combination approach is the best way to effectively turn back the clock on the hands. 
Since this is an area that tends to experience substantial volume depletion, injectable fillers can plump up the skin and smooth away many of the lines. I typically use Radiesse for this purpose, as the thicker consistency works well to create a smoother, more youthful appearance. Laser resurfacing can also be performed on this area to improve the texture and tone of the skin. A combination of Fraxel Dual and an Alexandrite laser often produce the best results for my patients. Make sure the doctor you work with is both board certified and an expert in skin rejuvenation to ensure your treatment is tailored to your precise needs for the best possible results. 

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

Thanks for your question and the photos you provided. I am sorry one treatment did not show you the improvement you were hoping for. Unfortunately, years of sun damage can cause skin to look like this. I would recommend Morpheus microneedling to build collagen and elastin in the skin of your hands to help with the crepe-y appearance. Make sure you consult with a board certified plastic surgeon.