Hand
Rejuvenation
Hand aging is a structural problem — the loss of subcutaneous volume and collagen that once concealed tendons and veins. Hand rejuvenation at Couture Dermatology and Laser addresses this loss directly, utilizing precisely placed FDA-approved dermal fillers, laser resurfacing, and energy-based tightening to restore plumpness, clear age spots, and refine skin texture without surgery.
per hand
surgical risk
longevity

"Firmness is not a cosmetic ambition. It is biology, restored."

The Anatomy of
an Aging Hand
The dorsal hand has very thin skin with minimal subcutaneous fat, leaving it highly vulnerable to UV damage and volume loss. Unlike the face, the hands receive intense daily sun exposure without consistent SPF protection — accelerating pigmentation, collagen breakdown, and skin thinning.
As volume depletes from the dorsal fat pad with age, the underlying tendons and veins become increasingly visible. This is a three-dimensional structural change that reshapes the entire appearance of the hands, turning them bony and frail.
At Couture Dermatology and Laser, hand rejuvenation addresses all aspects simultaneously. Dermal fillers restore dorsal volume to conceal anatomy. Laser resurfacing targets UV-induced age spots with precision. Radiofrequency tightening induces new collagen synthesis from within to correct crepey texture. Every protocol is designed from your individual assessment.
What to Expect
at Your Appointment
Hand rejuvenation at Couture Dermatology and Laser begins with a full dorsal hand assessment before any treatment begins, ensuring the correct modalities are selected.
Hand Assessment
Your board-certified FAAD dermatologist examines both hands — assessing dorsal volume deficit, tendon/vein visibility, age spots, and texture.
Included at every visitPreparation
Topical anaesthetic is applied to both hands. All filler products contain lidocaine for comfort. For laser sessions, appropriate cooling is utilized.
15–20 minutesTreatment
Filler is placed in the dorsal hand via precise injections (15-20 min/hand). Laser treatment for age spots is performed in a separate systematic session.
15–30 minutesRecovery & Results
Filler volume is immediate. Laser-treated spots shed over 7-14 days. SPF 50+ is essential. A maintenance schedule is agreed at your follow-up.
2–14 days recoveryThree Concerns.
Three Solutions.
Hand aging presents three distinct clinical concerns, each requiring a different treatment class. Your dermatologist selects the perfect combination.
Volume · Tendon & Vein Camouflage
Dermal Fillers
The primary driver of aged-looking hands is volume depletion from the dorsal fat pad. FDA-approved hyaluronic acid fillers are placed precisely to restore this volume, immediately reducing the visibility of prominent tendons and veins. Collagen-stimulating fillers (Sculptra, Radiesse) provide longer-lasting results by triggering structural production over months.
Pigmentation · Spot Clearance
Laser Resurfacing & IPL
The UV-induced lentigines (age spots) that accumulate on the hand are among the clearest age markers visible. Fractional laser and IPL deliver targeted energy that fragments melanin. Treated spots darken and shed over 7 to 14 days, revealing significantly clearer dorsal skin and inducing new collagen.
Radiofrequency · Laxity & Texture
RF Skin Tightening
Where dorsal hand skin has developed a crepey, lax texture, radiofrequency tightening delivers the most appropriate intervention. Controlled RF energy heats the dermis, triggering immediate fiber contraction and activating fibroblasts to produce new structural collagen over 3 to 6 months.
All Three · Comprehensive Rejuvenation
Combined Hand Programme
Most patients presenting with aged-looking hands have all three concerns: volume loss, age spots, and diminished quality. A combined programme addresses the hand comprehensively, with each modality treating the component the others cannot reach. Filler and laser are typically spaced 2-4 weeks apart.
Hands That Match
The Face They Accompany
Tendon & Vein Visibility Reduced
Volume restored to the hand immediately reduces the prominence of extensor tendons and dorsal veins, producing a smoother, more youthful surface in a 15-minute session.
Age Spots Cleared
UV-induced lentigines are cleared by laser with a precision that topical products cannot approach. Spots shed over 7 to 14 days, revealing clearer skin beneath.
Volume & Plumpness Restored
Dorsal filler restores the padded, full appearance of youthful hands that reads as well-hydrated and healthy rather than thin and depleted.
Skin Texture & Quality Improved
Crepey, thin skin responds to RF tightening and laser resurfacing with measurable improvement in firmness as new dermal matrix proteins are induced over months.
Results That Are Discreet
Well-executed hand rejuvenation does not announce itself. The goal is hands that look naturally well-maintained, not hands that have visibly been filled.
"The most elegant anti-aging approach is the one that restores what the body had — not adds what was never there."— Couture Dermatology and Laser

age spot clearance
Board-Certified FAAD
Every treatment designed, supervised, and performed by a Fellow of the American Academy of Dermatology
FDA-Approved Products
Only FDA-approved fillers and FDA-cleared laser and energy devices used for utmost safety
Bilateral Assessment
Both hands assessed together so each hand receives exactly what its unique aging pattern requires
Beverly Hills Location
Couture Dermatology and Laser · Beverly Hills, CA 90212 · (310) 444-0946
Every Sign of
Aging Hands
Hand aging presents a distinct set of changes, each with its own clinical treatment. Your dermatologist addresses which apply to you.
Prominent Tendons
Extensor tendons visible through depleted dorsal skin — camouflaged immediately by filler volume.
Visible Dorsal Veins
Prominent veins result from volume loss in the fat pad — filler restores padding, softening their appearance.
Age Spots & Lentigines
UV-induced pigmentation cleared by laser or IPL, revealing significantly clearer dorsal skin.
Crepey Hand Skin
Thin, papery texture addressed with RF tightening that triggers new structural protein synthesis.
Overall Skin Laxity
Loss of hand skin firmness treated with RF tightening and collagen-stimulating fillers from within.
Finger & Knuckle Texture
Fine lines extending to the fingers — improved with laser resurfacing as part of a comprehensive programme.
Is Hand Rejuvenation
Right for You?
- Adults who notice prominent tendons or veins on the dorsal hand that were less visible in earlier years.
- Those with age spots or sun spots on the hands that have not responded to topical brightening creams.
- Patients with crepey, thin hand skin that feels less firm than it once did and has visibly lower quality.
- Anyone who invests in facial rejuvenation and notices their hands reveal an age their face no longer does.
- Patients who want a quick treatment — hand filler sessions take 15 minutes per hand without surgical recovery.
- Those who want results that look naturally maintained — smoother and better-nourished — without evidence of treatment.
What hand rejuvenation cannot address
Hand rejuvenation addresses the skin and soft tissue of the dorsal hand — it does not treat the underlying veins themselves. Very prominent or bulging veins that are a vascular concern rather than a cosmetic one may require vascular consultation separately.
Filler camouflages the appearance of veins by restoring the volume above them; it does not alter the veins structurally. The consultation is always the starting point to discuss what treatment will realistically achieve.
For Complete Rejuvenation,
Pair With…
Hand rejuvenation addresses the dorsal hand specifically. These treatments extend the result so no single area of the body contradicts the other.
Age Spot Removal
A coordinated pigmentation programme treats all affected areas (hands, face, chest) with the same laser protocol for consistent clarity.
Explore age spot removal →Non-Surgical Facelift
Hand rejuvenation reverses age signs at arm's length. The non-surgical facelift addresses the face above for a comprehensively rested look.
Explore non-surgical facelift →Laser Skin Resurfacing
The same fractional laser used on the hands is equally effective on the face and neck, producing uniform improvement rather than a patchy result.
Explore laser resurfacing →Medical-Grade Skincare
Hand results are protected by broad-spectrum SPF 50+ and topical retinoids or vitamin C serums to extend collagen production.
All treatments →Your Hands.
Assessed. Restored. Maintained.
Hand aging presents differently in every patient. At Couture Dermatology and Laser, your board-certified FAAD dermatologist assesses both hands in full before recommending any product, volume, or laser treatment combination.
Sat · By Appointment Only
"My face looked ten years younger after treatments elsewhere, but my hands gave my age away every time. Dr. Chinonso addressed the volume loss and age spots in two sessions — and for the first time, my hands actually match my face. I wish I had done this years ago."
Diane R.
Verified Patient · Beverly Hills
Results That Speak for Themselves

Individual results vary. Images represent outcomes achievable through a personalised treatment programme at Couture Dermatology and Laser.
Frequently
Asked Questions
Direct answers to the questions patients most commonly bring to their hand rejuvenation consultation — on what changes, what to expect, and how long results last.
The dorsal hand has very thin skin with minimal subcutaneous fat, leaving it highly vulnerable to UV damage and volume loss. Unlike the face, the hands receive intense daily sun exposure without consistent SPF protection — accelerating pigmentation, collagen breakdown, and skin thinning. As volume depletes from the dorsal fat pad with age, the underlying tendons and veins become increasingly visible.
Hyaluronic acid filler placed in the dorsal hand restores the volume that once padded the hand and concealed the underlying anatomy. The result is an immediate reduction in tendon and vein visibility, plumper and smoother dorsal skin, and an overall hand appearance that reads as younger and better-nourished. Results from HA fillers are immediate and last 12 to 18 months.
Yes — laser resurfacing and intense pulsed light (IPL) treatments are highly effective at clearing the UV-induced pigmentation (lentigines) that cause age spots. The laser delivers targeted energy that fragments melanin in the pigmented cells; the spots darken briefly before shedding over 7 to 14 days, revealing clearer skin beneath.
Hand filler injections involve 2 to 5 days of mild swelling and occasional bruising. Laser treatment involves 7 to 14 days during which treated spots darken and shed before the skin clears. Patients can drive and perform most tasks during this period, though careful sun protection of the treated area is recommended.
Hyaluronic acid filler results last 12 to 18 months in most patients. Collagen-stimulating filler results develop over 3 to 6 months and can last 2 years or longer. Age spot clearance from laser treatment is long-lasting, provided consistent broad-spectrum SPF 50+ is applied to the hands daily to prevent recurrence.
Topical anaesthetic is applied before hand filler injections and all filler products contain lidocaine, making the treatment very comfortable. Most patients describe the sensation as mild pressure rather than pain. Laser treatment produces a brief warming or snapping sensation at each pulse — generally well tolerated with topical numbing.
Related Treatments
Hand Rejuvenation
in Beverly Hills, CA
What Is Hand Rejuvenation
What Happens During Your Visit
Step 1: Personalized Consultation
Step 2: Customized Treatment Plan
Step 3: In-Office Procedure
Step 4: Aftercare & Results
Check Your Insurance Coverage
Who Benefits from Treatment
- You have visible signs of aging such as prominent veins, age spots, or volume loss on your hands.
- You are in overall good health and have realistic expectations about the results.
- You want to improve hand appearance without invasive surgery or lengthy downtime.
- You are seeking a personalized approach to hand rejuvenation from experienced professionals.
Benefits of Hand Rejuvenation
Restores Youthful Volume
Reduces Age Spots and Discoloration
Improves Skin Texture and Firmness
Boosts Confidence and Comfort
- Laser skin resurfacing helps reduce sun damage and improve skin texture.
- Dermal fillers restore volume and smooth out wrinkles on the hands.
- Chemical peels can fade age spots and boost skin radiance.
- Microneedling stimulates collagen production for firmer, younger-looking skin.
Complementary Cosmetic Treatments
Hand Rejuvenation Treatment Cost
in Beverly Hills, CA
The cost of hand rejuvenation in Beverly Hills, CA typically ranges from $1,200–$3,500, depending on the specific treatments and number of sessions required. Pricing varies by provider, your individual anatomy, and the customized treatment plan created for you. For the most accurate estimate, we recommend scheduling a consultation to receive a personalized quote.
Dr. Chinonso Kagha
Abisogun, MD, FAAD
Why Choose Couture Dermatology?
At Couture Dermatology, your hand rejuvenation is performed by board-certified dermatologists with extensive experience in cosmetic treatments. We use the latest technology and tailor every procedure to your unique needs, ensuring natural-looking, beautiful results. Our Beverly Hills clinic is dedicated to delivering exceptional care and helping you achieve smoother, younger-looking hands with confidence.
Check Your Insurance Coverage
Testimonials
- Rosie D.
Meet Our Providers
Dr. Chinonso Kagha Abisogun, MD, FAAD
Healthy Skin.
Beautiful
Complexion.
A More Confident You.