Ageing Hands
People spend years on their face and none on their hands, then wonder why the two no longer match. Hands respond beautifully, and at our Berkhamsted clinic the pigment, the volume and the crepiness are each treated by the person and the tool best placed to do it.
At a glance
- Shows as Volume loss, visible veins, age spots, crepey skin
- Clinic Regents Park Aesthetics Berkhamsted
- Course 1 to 4 sessions by treatment
- Downtime None to 48 hours
What it is and why it happens
Hands age faster than the face and get a fraction of the attention. Three things happen together. Volume is lost from the back of the hand, so the tendons and veins that were always there become prominent. Sun damage accumulates, producing age spots on skin that has been exposed daily for decades without sunscreen. And the skin thins and turns crepey, losing the plumpness that hid the structure underneath.
The result is a mismatch: a face that has been looked after and hands that have not, which is the specific thing people notice in photographs and when handing something over. The happy surprise is how well hands respond. At our Berkhamsted clinic, the pigment laser, Profhilo, hand filler and microneedling all sit under one roof, so the three strands can be planned together.
Treatments that address it
| Hand Rejuvenation Filler Restores volume to the back of the hand, softening prominent tendons and veins. Placed conservatively by a prescribing clinician so hands look rested rather than treated. £350. | Profhilo Hydrates and thickens crepey hand skin without adding volume. Hands are one of the areas it does most for and one of the least often treated. Two sessions, £320. | Harmony ClearLift Lightens age spots on the backs of the hands, often visibly in one or two sessions, with little downtime. The quickest visible win on this page. From £160. | SkinPen Microneedling Rebuilds collagen through thin hand skin across a course, improving texture and crepiness with a day or two of pinkness. From £250. | |
|---|---|---|---|---|
 |
 |
 |
 |
|
| £350 | £320 | £160 | £250 | |
| Explore Hand Rejuvenation Filler | Explore Profhilo | Explore Harmony ClearLift | Explore SkinPen Microneedling |
- £350
- £320
- £160
- £250
Compared side by side
How we assess and treat
We look at the back of the hand with the fingers relaxed, since spreading them tensions the skin and hides crepiness. We work out which of the three is dominant, because most hands have all three and the order matters. Pigment usually improves fastest and gives the most immediate visible change, so we often start there with the ClearLift laser in the skin room.
Volume is handled with a light hand by Kay Greveson or Dr Grace Adamson. The goal is softening the structure rather than erasing it, because veins and tendons should still be visible on a hand, and conservatively placed filler or Profhilo gives exactly that. We also talk about protection, because hands take daily sun and almost nobody applies sunscreen to them, and the result deserves looking after. Your clinician covers suitability, timing and aftercare at your consultation, and the team is a phone call away afterwards.
Can you treat it at home?
Sunscreen on the backs of your hands, every day, reapplied after washing. It is the single most effective thing on this list and almost nobody does it, and the pigment you are treating came from decades of not doing it. Keep a hand cream with SPF by the sink, because that is the only way it actually gets used.
Extend whatever you use on your face to your hands. Retinoids work there and thicken the skin over months, and hand skin tolerates them well. Gloves for washing up, gardening and cleaning, because detergents and solvents strip the barrier faster than anything else.
Home care improves the skin and protects the result. Lost volume is restored in clinic, and that is where the two work together.
Related concerns
Meet our team of experts
Hand filler and Profhilo at our Berkhamsted clinic are placed by Kay Greveson, our founder and advanced nurse prescriber, or Dr Grace Adamson, who is in Berkhamsted every Thursday, while Anna Stenekova and the skin therapists run the pigment laser and microneedling.
Frequently Asked Questions
Daily sun exposure with almost no sunscreen, thin skin with little underlying fat, and constant use and washing. The face gets protected and treated and the hands get neither, which is exactly why they respond so well once they do.
It depends which of the three dominates. Age spots respond fastest to the ClearLift laser. Volume loss is restored with filler. Crepiness is thickened with Profhilo or microneedling. Most hands do best with two of the three, planned together at your consultation.
Hand filler £350, Profhilo £320, ClearLift from £160 and microneedling from £250 at our Berkhamsted clinic. We quote the plan rather than the session.
Not placed conservatively, and that is how Kay and Dr Grace work. The goal is softening prominent tendons and veins rather than erasing them, so hands look rested rather than treated.
Twelve to eighteen months, similar to filler elsewhere.
Around six months after the two-session course, with the texture change building from four to six weeks after the first session.
Treated spots usually stay lighter. New ones form with further sun exposure, which is why daily sunscreen on the hands is the condition of the result.
Usually the pigment, because it improves fastest and gives the most immediate visible change. Volume and crepiness follow once the hands already look brighter.
None with the laser and Profhilo beyond a little tenderness, and a day or two of pinkness after microneedling. Filler settles over two weeks. Your clinician covers suitability, timing and aftercare at your consultation, and the team is a phone call away afterwards.
For barrier and texture, yes. For volume or pigment, no. A hand cream with SPF kept by the sink is the most useful version.
Kay Greveson or Dr Grace Adamson for filler and Profhilo, and Anna Stenekova and the skin therapists for the pigment laser and microneedling, all at our Berkhamsted clinic.
113 High Street, Berkhamsted HP4 2DJ, a short walk from the station and a short drive from Tring, Hemel Hempstead, Chesham and Amersham.
