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Due to the high exposure of hands to the environment, specifically the sun, the hands tend to age at a more rapid rate than the rest of the body. This ageing process manifests itself on three different levels with most patients having a combination of concerns often requiring various combined treatments.

Level 1

Epidermal damage results in abnormalities in pigmentation of the skin. The skin can also form a rough texture. For discrete pigmented areas, the treatment typically used is laser treatment and there is normally only a single treatment required.

Fractional laser resurfacing is used where hyperpigmentation is more generalised.

For more information see FRAXEL

All of the pigmentation treatment programs should go hand in hand with daily sunscreen which helps prevent the recurrence of the pigmentation. In some cases which are particularly resistant to laser treatment, a prescription cream may be required in conjunction with the regular treatment. This needs to be applied nightly. Abnormalities in skin texture including roughness of the skin can also be due to an age related reduction in the content of water in the skin combined with skin damage due to the sun. Superficial peels can help to improve this situation.

For more information see PEELS

Level 2

Dermal damage resulting in wrinkling. Wrinkle formation often occurs on the hands before they occur in other areas of the body. To help control this process, superficial peels can be used by applying them every night. Clinical peels can also be used to stimulate dermal collagen.

For more information see PEELS

Fractional laser technology can also stimulate collagen production, helping to prevent dermal damage. In these cases, typically 4 to 6 treatments at monthly intervals are used.

For more information see FRAXEL

Level 3

Level three is where there is a loss of volume and elasticity in the skin. It is also characterised by veins in the back of the hand being much more prominent. Loss of skin elasticity can be treated with deep tissue heating with radiofrequency treatment. Volume loss can be treated using dermal fillers. Fillers include hyaluronic acid which can replace the lost volume of the hand. This is a simple technique which requires a couple of syringes per hand which may need repeating once or twice a year.

For more information see DERMAL FILLERS

Particularly prominent veins on the backs of the hands can also be treated by using a very fine injection technique. This is called sclerotherapy, a treatment which is also used on leg veins. Each hand is treated in separate sessions and elastic bandages need to be worn for several days after treatment has being carried out. To get a satisfactory improvement, typically a series of treatments are required.    

For more information see SCLEROTHERAPY