Age 41. What can I do to improve the look of my hands? (photo)

Hi RF,
There are several great options for your hands! We all lose volume in the backs of our hands as we get older. It’s a great way to determine someone’s true age (unless they’ve been fixed!). I would do a fat transfer to them to restore lost volume (disguise the tendons & veins), or injections of calcium hydroxylapetite/hyaluronic acid to add volume as well as stimulate production of more collagen & elastin. Fat is more permanent than the other 2 options, but, each has its own advantages & disadvantages. Regardless, I wouldn’t jump right to sclerotherapy until you’ve restored the lost volume first.
I love fixing hands! Hope this helps!
- Dr. Kiripolsky

The reason the blood vessels are so prominent is largely because their is loss of volume in the backs of the hands. So, if loss of volume is the culprit, the quick and easy answer is to revolumize the hands with a robust HA volumizing filler. Not only will the backs of the hands look more full and youthful, but you will not only find that your hands look more youthful, but you will also find that the blood vessels are no longer prominent.
On the other hand, scerotherapy would not only be permanently close off the blood vessels (which, would preclude their use if ever needed for IV medication treatments in the future), but would do nothing to restore the volume necessary for reestablishing more youthful-looking hands.
You would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck.