Dr Anne Collins Cosmetic Surgeon

Hand Rejuvenation

Hand Rejuvenation
Throughout history, there has always been a fascination with the beauty of hands. As we age, however, our hands age with us. The quality of the skin deteriorates, becoming thin and loose.

Wrinkles and pigmentation develop, subcutaneous fat is lost and, as a result, the veins and tendons on the back of the hands become increasingly more visible. The hands, therefore, are frequently one of the first indicators that reveal one’s true age.

Volume loss, pigmentation and skin quality can be addressed using a variety of methods including fat grafting, dermal fillers, microneedling and chemical peels. These methods can be combined to optimise your result.


Fat grafting involves harvesting fat from one part of your body and transferring it to another. It has been used successfully for cosmetic and reconstructive surgery of the face, breast and other parts of the body. In ageing hands, fat grafting improves the contour by reducing skin flaccidity and camouflaging the visible veins and tendons. The transferred fat cells can also have a rejuvenating effect on skin quality. The procedure can be done under local anaesthetic. Afterwards, you may develop some bruising in the area from where the fat was harvested and swelling of your hands. The latter usually resolves in 72 hours. Repeat procedures are only required occasionally.

Dermal fillers are smooth injectable gels made from synthesised hyaluronic acid, a substance that naturally occurs in your skin. Once injected, the hyaluronic acid attracts water and adds volume to the target area. Dermal fillers are commonly used to volumize the face, restructure the jawline, improve the contour of the neck and enhance the nose, lips, cheeks and chin. They can also improve the appearance of  ageing hands by replacing volume loss, reducing wrinkling and enhancing the skin quality. The results are instant and the effects last up to 18 months.

SkinPen® is a medical grade, microneedling device designed to improve the appearance of fine lines and wrinkles and scars. It uses adjustable length, disposable straight needles to penetrate at a 90-degree angle. It works by creating thousands of precise micro-injuries in the dermis, triggering new collagen synthesis without causing scar tissue formation. This rejuvenates your skin from the inside out. Your skin may be a little red for 24 hours after the procedure, but otherwise minimal downtime is expected. The best results are seen after a course of 3 treatments, spaced 30 days apart.

Absolutely. A chemical peel refers to the application of specialised chemicals to the skin. Dr Collins uses the Aspect™ Professional range of chemical peels and your treatment will be tailored to your individual needs. In terms of hand rejuvenation, peels can target fine lines and wrinkles, address age spots and pigmentation, give your skin a hydration boost and visibly enhance its appearance.

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