The hands reveal age through volume loss, skin thinning, and sun damage. Treatment restores a fuller, smoother appearance.
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The dorsal hands — the backs of the hands — are composed of skin, subcutaneous fat, extensor tendons, and a network of veins and bones beneath. In youth, the fat pad on the dorsal hand creates a smooth, full surface that conceals the underlying structures. As this fat depletes with age, tendons, veins, and bones become increasingly visible, creating the skeletal appearance that most patients associate with aged hands.
The skin on the back of the hand is among the thinnest on the body and is constantly exposed to UV radiation without the consistent sun protection most patients apply to their faces. This combination produces accelerated photoaging — texture changes, pigmentation, and loss of elasticity — that compounds the volume-related changes.
The hands are where patients give their age away even when everything else has been maintained.
The dorsal hands — the backs of the hands — are composed of skin, subcutaneous fat, extensor tendons, and a network of veins and bones beneath. In youth, the fat pad on the dorsal hand creates a smooth, full surface that conceals the underlying structures. As this fat depletes with age, tendons, veins, and bones become increasingly visible, creating the skeletal appearance that most patients associate with aged hands.
The skin on the back of the hand is among the thinnest on the body and is constantly exposed to UV radiation without the consistent sun protection most patients apply to their faces. This combination produces accelerated photoaging — texture changes, pigmentation, and loss of elasticity — that compounds the volume-related changes.
The hands are where patients give their age away even when everything else has been maintained.
Dorsal fat pad full; tendons and veins not visible; skin smooth and elastic.
Early UV pigmentation develops; subtle fat thinning begins in predisposed patients.
Visible tendon and vein prominence; skin quality changes from sun exposure become apparent.
Significant volume loss and photoaging; the dorsal hand has a skeletal, aged appearance.
The dorsal hands are full and smooth. The fat pad conceals all underlying structures and the skin is elastic and even-toned.
Early UV damage begins to accumulate as diffuse pigmentation. Fat thinning starts very gradually, not yet visible.
Volume loss becomes visible as tendons and veins become more prominent. Skin quality changes from sun damage are apparent as texture irregularity and early pigmentation.
Significant volume depletion with prominently visible tendons and vasculature. Established photoaging with pigmentation, texture changes, and elasticity loss. The hands look markedly older than a well-maintained face.
Restore dorsal volume to reduce tendon and vein prominence and return the smooth hand surface
Address accumulated UV pigmentation and texture damage that decades of unprotected sun exposure produce
Create continuity between a maintained face and hands that have been treated differently
Hand treatment at CAMI addresses both the volume component and the skin quality component. Filler placed in the dorsal fat compartment restores the smooth surface that conceals tendons and veins. For skin quality, IPL and resurfacing treatments address pigmentation and texture simultaneously, producing a significant improvement in the overall appearance of the dorsal skin.
We assess both hands together and plan treatment to produce symmetric, natural results. The combination of volume restoration and skin quality treatment typically produces the most complete and lasting improvement.