It is not only the face that gives away signs of aging; similar changes occur in our hands. Prominent veins, tendons and bones are caused by thinning of the normal fat layer beneath the skin. Wrinkling of the skin also occurs, and brownish patches of pigmentation may develop.
There are a number of treatments that can improve the signs of aging in the hands.
Vital is a new product that has been developed to treat wrinkles in fine skin, and is particularly suitable for the backs of the hands. Vital is composed of hyaluronic acid, a molecule that is present in skin naturally, and is involved in maintaining the hydration (water content) of the skin. Vital is injected into the dermis (layer just beneath the skin surface) using a very small needle. A local anaesthetic cream is applied 20-30 minutes before the treatment. This is a course of 3 treatments over a period of 3 months, then maintenance treatments as required.
Prominent bones and tendons on the back of the hand
There is little soft tissue between the skin and the underlying bones and tendons, and with age, the fat layer thins. Injecting filler in the deeper layer of the skin helps to improve 'bony looking' hands. I use Restylane, a clear gel composed of hyaluronic acid. An alternative solution is Coleman fat transfer. Coleman fat transfer uses a small amount of fat taken from another part of your body (usually lower abdomen), which is injected under the skin on the back of the hand and fingers. Fat transfer is a permanent treatment.
Age spots, sometimes called 'liver spots' are common on the back of the hands. These can be improved with prescription only creams, available from my clinic. In some cases, particularly when pigment changes are widespread, a light chemical peel may be recommended.