Hands are one of the first parts of the body to show signs of aging because they receive so much exposure. Sunlight, the elements and the natural aging process all contribute to the development of darkened spots, precancerous growths and a loss of fatty tissue.
In the aging of the hand, we also see subcutaneous tissue loss as well as thinning of the skin. Veins become much more prominent with deepening colour. The anatomy of the tendons becomes more accentuated. Skin wrinkles become more prevalent with the loss of fullness and elasticity in the deep dermal layer. Hand muscle wasting also becomes more obvious with volume loss.
The objective of rejuvenating the hands is to add fullness to the skin and subcutaneous tissue in order to add volume to the hand forming a youthful fullness.
There are a number of treatment options available to help make hands look younger. Retin-A® and glycolic acid derivatives can be applied to the hands topically. This process causes “age” spots to fade and tissue appears less transparent. Laser treatments can remove 90-95% of age spots most effectively. Chemical peels and microdermabrasion are other options. More recently, Dermal Fillers have been used to restore subcutaneous volume – this is now the most effective and popular form of hand rejuvenation.
Webbing of the neck and pigmentation caused by U.V. exposure and hormonal factors can be effectively treated using muscle relaxing injections and cosmeceutical products respectively.