What is the Best Treatment for the Deepest Lines on Hands?

As we age we lose dermal collagen and soft tissue on the back of the hands as well as start showing mottled pigmentation(brown spots).  These areas start looking brown, bruised, bony and with more noticeable tendons.  The key to rejuvenating and returning the back of the hands is to approach the pigment changes with as series of BBL treatments along with replenishing the dermal and subdermal tissue either with fat transfer or injections of collagen stimulators into that soft tissue space to plump and firm it up.  I typically use Radiesse for that purpose.  When done well, it will take 10 years off the back of your hands.  This is 'off label' use, but has been used for years and works like a charm.

Hard to comment without photos.  That said; lines, wrinkles, and appearance of veins are usually treated with volume.  Dermal fillers are very good at this.  Solar damage, spots, etc. are often treated with a spectrum of modalities, microdermabrasion, peels of various intensity, and laser all have a place, depending on your condition and how aggressive you want to be.  See your local board certified plastic surgeon.  Together, you will come up with a plan.

So many women discover their hands have aged faster than their faces. Some of this is due to exposure and the fact that few of us remember to use sun screen on our hands. But many times the bigger issue is volume loss.Once you've lost fat from the back of your hands, you see tendons, veins and bones and more crepey lines - not the look you want. The best method of filling that space back up is with Radiesse (lasts a long time and gives an instant smooth result) - or fat injections.Radiesse actually increases the collagen in the skin a little as well...a nice side benefit for smoothing the skin even further.From right now, start using a sunscreen on the backs of your hands. It will act as a moisturizer and a protectant.