If there is wrinkling, age spots and prominent veins on the hands, some patients will request a hand rejuvenation procedure.

Drinking plenty of water, avoiding sun exposure and moisturizing the hands can really help. Avoiding harsh chemicals when cleaning by wearing gloves can help as well. Once the damage is done the hands appearance can be improved by several methods.
For age spots on the hands a bleaching hand cream can be used. Popular ingredients would include kojic acid as well as hydroqinone. These products can be purchased over the counter in a 2% form or with a prescription at a strength of 4%. An exfoliating cream can be used first to allow deeper penetration of the skin cream. These products normally take at least 3 months to see the difference.
Peels or lasers can be used to remove age spots with faster results. The age spots will lighten as the skin is exfoliated. These methods are stronger therefore the results are seen quicker.
As we age the dermis layer thins and fat atrophy occurs which results in a deflated look with wrinkles. To help restore volume or camouflage prominent veins fillers can be injected into the back of the hand. Filling the hollow areas will give a more youthful look to the hand. The filler can also help hide those veins. This can be done in one setting and takes about 15 minutes.
The overall result will be a more youthful hand without hollowness and less age spots.