The first step is to get rid of these large, bulging hand veins. These veins are normal, and more of a cosmetic problem than a disease process like varicose veins. Fortunately, the hand has plenty of venous return, and does very well when the veins are removed. The hand veins respond very well to sclerotherapy, typically with about two sessions.
The next step in hand rejuvenation is volume replacement. The loss of fat in the hand makes the bones and tendons stick out and much more obvious, just like the veins. A very simple way of returning volume is to inject Radiesse,a common filler. Radiesse is highly malleable and when injected over the top of the hand it erases the bony look of the tendons and bones. The Radiesse injection is almost pain free because it is mixed with lidocaine, a local anesthetic. Once injected the Radiesse is massaged into a smooth natural appearing surface that replaces the fat that has been lost. Radiesse may last up to two years. Your hands will look and feel completely natural.
Phase three is to get rid of the dark brown age spots. Just like the age spots we get on our faces from a lifetime of exposure to the sun, the hands are usually worse. Most patients forget to put sun screen on their hands and, as a result, hands suffer the same fate with dark brown patches. These are called actinic keretosis, and have the potential to become skin cancers. Fortunately they respond just like your face, to IPL treatments. IPL or Foto facial treatments break up the pigment and restore the skin to its clear, spot free, healthy youthful appearance. Now your hands look great, the final step is to keep your hands looking great and applying sun screen daily.