The second most common area that shows signs of aging or volume loss is the hands. Two main aspects of how the aging process affects the hands are similar to those of the face. The first aspect is the skin texture: pigmentation changes, skin thickness, and surface appearance. The second aspect is generalized volume loss, which results in more visible and prominent veins and tendons and a more frail appearance.
Age Spots /Liver Spots
Patients who belong to Fitzpatrick skin type I or II (fair, freckly type) are more likely to develop dark, patchy pigmentation on the back of their hands, often known as sun spots, age spots, or liver spots. These spots are the result of damage to the melanocytes-the cells that produce dark pigment and are responsible for the color of our skin and hair (melanin) due mainly to unprotected sun exposure.
There are several ways to treat these areas, the first being sunblock. The second treatment would be a chemical peel. Most commonly used peels for this purpose are TCA, trichloroacetic acid peels which can be used in different concentrations depending on the skin type and problem. For even more improvement we can add collagen building treatment such as Radiesse dermal filler or Secret Radio Frequency microneedling.