Does Ultherapy Work on the Hands?

Even with the most superficial, 1.5mm deep transducer, the ultherapy's energy may be delivered too deeply for the hand. If you are trying to build up collagen, then Fraxel Restore is an excellent therapy for the tops of the hands. Several treatments would have to be done.  Fillers such as Restylane, Radiesse and Fat injections have been used, off-label, to build up volume which is often needed in the aged hand to help hide the bulging veins.

Ultherapy is not currently approved for use on the hands. Theoretically it would provide adequate skin tightening but there are no studies to show proven results in this area. Also, it would be very difficult to make contact as this is a bony area, making a thorough treatment difficult to deliver. At this time, Photofacial IPL, fillers, and topical products will provide the best results on the hands.

Tightening of the skin on the hands is not something that Ultherapy is cleared for by the FDA.If there is thin skin on the hands, it usually means that there is also thin fatty tissue underneath. Given that this is HIFU, the US energy will be attenutated and absorbed in the metacarpal bones ... I don't recommend its use for the hands. 

Ultherapy is not FDA approved for the hands.  But, like other areas of the body such as the knees or the thighs, Ultherapy can tighten and stimulate collagen in this area. I usually prefer to use Radiesse or Sculptra for the hands as these injections tend to thicken the skin and give a very consistent result.

I agree with posted comments that it is not currently recommended for treatment of the hands.  Cosmetic options depend on what you want to achieve.  Are there dark spots you want to remove?  Are you concerned about the "wrinkled" look or the prominence of "veins" on the backs of your hands?  The treatments recommended (Lasers, FotoFacial, fillers, bleaching agents, etc.) are determined based on what specific problems you are having.  Please contact a board certified dermatologist or plastic surgeon for a consultation on what would be best for you. I hope this helps!