What surgery, procedure, or filler do you recommend for wrinkled knuckles? (Photo)

For hand rejuvenation we can use a combination of resurfacing (recommended for texture issues like wrinkles) and filler or fat (recommended for volume loss or visible vessels/tendons).
For the wrinkled knuckles - I recommend doing resurfacing. Start with Tretinoin or Tazorac daily at home. Good treatments in office include Fraxel Restore or Halo. I prefer these resurfacing lasers because they have a "rolling" technology which allows for better coverage and less side effects than the "stamping" versions of resurfacing lasers.
My go to is the Fraxel. It will take more than one treatment, but can be very effective!!

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon