Hand rejuvenation
Treatment available at our Madrid clinics at Calle Serrano 143 and La Moraleja
Specialists in
Aesthetic treatments for hand rejuvenation
Hand rejuvenation is one of the most common requests in aesthetic medicine practices after patients reach the age of 40, especially to harmonise the appearance of the hands with that of the face. The Grupo Pedro Jaén Aesthetics Unit individually assesses each patient in order to respond to their specific needs, designing the most appropriate combination of treatments in each case.
Recognised reference clinics in Spain
Home > Aesthetic medicine > Body aesthetic medicine > Hand rejuvenation
What sets us apart
Holistic hand rejuvenation with advanced techniques
We approach hand rejuvenation from a holistic perspective, combining state-of-the-art technology with an in-depth knowledge of skin anatomy and physiology. Our experience enables us to apply advanced techniques safely and effectively, obtaining natural results that respect the structure and mobility of the hands. The aim is to enhance the appearance of the hands and bring them into harmony with the look of the patient’s face and body.
Treatments for pigmentation on the hands
Age spots (solar lentigines) are a telltale sign of ageing hands. They are due to accumulated sun exposure and although they are more frequent in mature skin, they can also appear in younger patients who sunbathe without adequate protection.
Picosecond laser and intense pulsed light
The picosecond laser is the gold standard for removing pigmentation. Its effect on collagen and elastin production also improves the quality and tone of the skin, resulting in very successful overall rejuvenation of the hands. Pulsed light, on the other hand, is very effective in treating sunspots and reducing fine wrinkles.
Options for a stronger effect
At the dermatologist’s discretion, laser and pulsed light treatments can be enhanced by topical depigmenting agents to inhibit melanin production and peels to accelerate skin surface renewal, improving skin texture and appearance.
Treatments for wrinkles on the hands
The skin on the hands develops early wrinkles due to the absence of sebaceous glands and the combined action of the passage of time, sun exposure and external factors.
Laser and intense pulsed light (IPL)
Depending on the depth of the wrinkles, a Fraxel laser or fractional CO2 laser is used, especially if, in addition to wrinkles, the texture and firmness of the skin need to be improved. Intense pulsed light can also be used if, in addition, there is pigmentation and dehydration.
Injected treatments
In many cases, wrinkles on the hands are due to dehydration of the skin. Mesotherapy can be applied with moisturising active ingredients, or biostimulation using polynucleotides or growth factors to improve the texture and firmness of the skin, giving the hands a more youthful appearance.
Restoring volume in the hands
Over time, the skin of the hands loses density and volume. This phenomenon of skin atrophy (thinning) gives the hands an aged appearance that may not correspond to the patient’s chronological age or facial appearance.
Mild-moderate volume los
If there is mild or moderate volume loss, mesotherapy can be used with moisturising active ingredients and resorbable fillers, as can regenerative techniques. These treatments redensify the hands by improving their hydration and stimulating the production of collagen and elastin, substances linked to skin firmness.
Advanced volume los
If the hands are too bony and hollow, resorbable fillers, collagen stimulators and autologous plasma (PRP) can be used. These substances provide volume thanks to their ability to retain water and promote collagen production.
What it involves and how it is treated
A guide to ageing of the skin on the hands
Along with the neck and décolletage, the hands are one of the most commonly overlooked areas when it comes to skin ageing, despite being far more vulnerable to ageing factors and more exposed to external aggressions such as sun exposure, cold, wind, detergents, irritants, and repeated contact or friction with hard or abrasive surfaces.
The skin of the hands has very specific characteristics that must be taken into account when caring for and rejuvenating them. On the one hand, the skin of the palms is thick and highly resistant. It contains sweat glands and a thick layer of fat that acts as a protective cushion against trauma and friction.
In contrast, the skin on the back of the hands is much thinner and more delicate. It lacks sweat glands and contains very little hair and subcutaneous fat, meaning that its skin barrier (the hydrolipidic layer that protects the skin from external aggressions) is almost nonexistent. As a result, the hands often show signs of ageing much earlier than the rest of the body or even the face.
For this reason, the Grupo Pedro Jaén Aesthetics Unit has developed specific treatments for hand rejuvenation. The goal is to improve their appearance and harmonise the look of the hands with that of the patient’s face and body.
Treatments for pigmentation on the hands
Pigmentation is one of the most visible signs of ageing on the hands. It is caused by cumulative sun exposure over the years and, although it is more common in mature skin, it can also appear in younger patients who are frequently exposed to the sun without adequate protection.
Before starting any pigmentation treatment, it is essential for the dermatologist to assess the lesions in order to identify the type of pigmentation involved. This evaluation is crucial not only to select the most appropriate treatment, but also to rule out the presence of precancerous lesions or skin cancer.
The most effective treatments for pigmentation on the hands are the picosecond laser and intense pulsed light (IPL).
Picosecond laser
This is one of the most effective technologies for treating pigmentary disorders. It is particularly effective in removing dark brown spots without damaging the surrounding skin. In addition, its effect on collagen and elastin production improves skin quality and tone, achieving highly satisfactory overall hand rejuvenation.
Intense pulsed light (IPL)
IPL is a highly effective light source for treating sun-induced pigmentation. It is especially useful for hand rejuvenation because, in addition to reducing pigmentation, it also improves fine wrinkles. This allows IPL to address two very common concerns in ageing hands: sunspots and fine lines.
Pre- and post-treatment care
Before treatment with a picosecond laser or IPL, the dermatologist may recommend the use of a topical depigmenting agent for two to three weeks prior to the first session.
Laser and IPL treatments for hand pigmentation are performed in just a few minutes and do not require sedation or topical anaesthesia, as they are not painful. Patients can resume their normal daily activities immediately. However, it is essential to apply the restorative cream prescribed by the dermatologist and to use broad-spectrum sunscreen with a high protection factor (preferably SPF 50+) to optimise results and prevent post-inflammatory hyperpigmentation.
Combination of treatments for greater effectiveness
At the Grupo Pedro Jaén Laser Unit, we have the most advanced laser and IPL systems available to safely lighten hand pigmentation in the fewest possible sessions. These treatments can also be combined, at the dermatologist’s discretion, with topical depigmenting agents to inhibit melanin production and chemical peels to accelerate skin surface renewal, improving texture and overall appearance.
Treatments for wrinkles on the hands
The skin of the hands develops wrinkles earlier than that of the face or body due to the absence of sebaceous glands and the combined effects of ageing, sun exposure and environmental damage, which progressively impair the skin barrier. The most effective approach to treating hand wrinkles is based on combining fractional laser and/or intense pulsed light to stimulate collagen and elastin production through controlled heating of the skin. These structural proteins are essential for achieving firmer, smoother skin. One of the main advantages of laser and IPL hand rejuvenation is that results continue to improve progressively over the following months.
As with any laser or IPL treatment, patients must follow strict photoprotection measures using SPF 50+ sunscreen and apply the regenerative cream recommended by the dermatologist to support skin recovery.
“Generally, the best results are achieved by combining several therapeutic options and acting early”
Treatments to restore volume in the hands
Over time, the skin of the hands loses density and volume. This phenomenon of skin atrophy (thinning) gives the hands an aged appearance that may not correspond to the patient’s chronological age or facial appearance.
Depending on the degree of volume loss, different treatments may be indicated.
Mild-moderate volume los
If there is mild or moderate volume loss, mesotherapy can be used with moisturising active ingredients and resorbable fillers, as can regenerative techniques. These treatments redensify the hands by improving their hydration and stimulating the production of collagen and elastin, substances linked to skin firmness.
Severe volume loss
When the hands appear excessively bony and hollow, resorbable fillers, collagen stimulators and autologous plasma (PRP) are recommended. These substances restore volume through their water-retention capacity and their ability to promote collagen production. The volumising effect is immediate, and skin texture and appearance continue to improve over the following weeks. These treatments are very safe, as they are based on biocompatible materials that are gradually reabsorbed and can be safely repeated once fully degraded.
A special mention should be made of hand rejuvenation using autologous fat, which is increasingly considered an ideal filling material due to its natural, long-lasting results and excellent safety profile.
This technique involves harvesting a small amount of fat via minor liposuction from areas such as the abdomen or knees. The fat is then processed and injected into the hands to restore volume, improve vascularisation and enhance skin tone. The rejuvenating effect is natural, safe and long-lasting.
More information
Below you will find the frequently asked questions, authorship, and references for the information provided on this page:
Authorship and references
The content of this page has been prepared by the Communication Department and the Medical Team of Grupo Pedro Jaén, in line with our editorial commitment to ensuring the accuracy and up-to-date nature of the information provided.
References on hand aesthetics:
1. Riyaz FR, Ozog D. Hand rejuvenation. Semin Cutan Med Surg. 2015 Sep;34(3):147-52. doi: 10.12788/j.sder.2015.0172. PMID: 26566571.
2. Fabi SG, Goldman MP. Hand rejuvenation: a review and our experience. Dermatol Surg. 2012 Jul;38(7 Pt 2):1112-27. doi: 10.1111/j.1524-4725.2011.02291.x. Epub 2012 Jan 23. PMID: 22268976.
3. Shamban AT. Combination hand rejuvenation procedures. Aesthet Surg J. 2009 Sep-Oct;29(5):409-13. doi: 10.1016/j.asj.2009.08.003. PMID: 19825471.
4. Man J, Rao J, Goldman M. A double-blind, comparative study of nonanimal-stabilized hyaluronic acid versus human collagen for tissue augmentation of the dorsal hands. Dermatol Surg. 2008 Aug;34(8):1026-31. doi: 10.1111/j.1524-4725.2008.34201.x. Epub 2008 Apr 22. PMID: 18430173.
5. Butterwick K, Sadick N. Hand Rejuvenation Using a Combination Approach. Dermatol Surg. 2016 May;42 Suppl 2:S108-18. doi: 10.1097/DSS.0000000000000687. PMID: 27128236.
6. Conlon CJ, Abu-Ghname A, Davis MJ, Ali K, Winocour SJ, Eisemann ML, Winocour J. Fat Grafting for Hand Rejuvenation. Semin Plast Surg. 2020 Feb;34(1):47-52. doi: 10.1055/s-0039-1700960. Epub 2020 Feb 15. PMID: 32071579; PMCID: PMC7023972.
7. Hadian K, Babossalam S, Mahdikia H, Aghighi M, Talebi A, Abdollahimajd F, Shokri B. Efficacy and safety of non-thermal nitrogen plasma versus long-pulsed Nd:YAG laser for hand rejuvenation. Lasers Med Sci. 2022 Feb;37(1):181-191. doi: 10.1007/s10103-020-03204-x. Epub 2021 Jan 9. PMID: 33420853.
8. Robati RM, Asadi E, Shafiee A, Namazi N, Talebi A. Efficacy of long pulse Nd:YAG laser versus fractional Er:YAG laser in the treatment of hand wrinkles. Lasers Med Sci. 2018 Apr;33(3):461-467. doi: 10.1007/s10103-017-2351-2. Epub 2017 Oct 8. PMID: 28990118.
9. Simonacci F, Bertozzi N, Grieco MP, Grignaffini E, Raposio E. Procedure, applications, and outcomes of autologous fat grafting. Ann Med Surg (Lond). 2017 Jun 27;20:49-60. doi: 10.1016/j.amsu.2017.06.059. PMID: 28702187; PMCID: PMC5491488.
10. Ovadia SA, Efimenko IV, Lessard AS. Dorsal Hand Rejuvenation: A Systematic Review of the Literature. Aesthetic Plast Surg. 2021 Aug;45(4):1804-1825. doi: 10.1007/s00266-020-02077-3. Epub 2021 Jan 8. PMID: 33420511.
11. McGuire C, Boudreau C, Tang D. Hand Rejuvenation: A Systematic Review of Techniques, Outcomes, and Complications. Aesthetic Plast Surg. 2022 Feb;46(1):437-449. doi: 10.1007/s00266-021-02519-6. Epub 2021 Aug 11. PMID: 34382097.
12. Hoang D, Orgel MI, Kulber DA. Hand Rejuvenation: A Comprehensive Review of Fat Grafting. J Hand Surg Am. 2016 May;41(5):639-44. doi: 10.1016/j.jhsa.2016.03.006. PMID: 27113709.
13. Sterodimas A, Boriani F, Nicaretta B, Pereira LH. Hand rejuvenation by stromal enriched lipograft. J Plast Reconstr Aesthet Surg. 2018 Oct;71(10):1507-1517. doi: 10.1016/j.bjps.2018.07.029. Epub 2018 Aug 8. PMID: 30139666.
14. Fathi R, Cohen JL. Challenges, Considerations, and Strategies in Hand Rejuvenation. J Drugs Dermatol. 2016 Jul 1;15(7):809-15. PMID: 27391630.
Where we see patients?
Clinics in Madrid
Grupo Pedro Jaén is a medical group founded more than three decades ago with the aim of providing medical, surgical and aesthetic solutions related to skin health and appearance. Led by Dr Pedro Jaén, the group has a highly specialised medical team that covers every area of care with top-level specialists, carries out extensive training activities, is a leader in medical research, and operates several clinics in Madrid, from which it offers the highest standards of care and clinical excellence to all patients.
Calle Serrano 143
This centre is the main headquarters of Grupo Pedro Jaén. It provides diagnostic and treatment services in skin cancer, clinical and aesthetic dermatology, laser treatments and other related specialties.
Mon - Fri 09:00 - 21:00 / Sat: 09:00 - 14:00
Calle Serrano 143, El Viso neighbourhood, Chamartín district, 28006 Madrid, Spain
La Moraleja
Located in Plaza de La Moraleja, this exclusive centre allows Grupo Pedro Jaén to bring its medical and aesthetic services closer to patients across the entire northern area of Madrid.
Mon - Thu: 09:30 - 20:00 / Fri: 09:30 - 18:00
Calle de la Estafeta 8, ground floor, La Moraleja, 28109 Alcobendas, Madrid
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