Some signs of ageing are easy to hide. Hands are not one of them.

This patient, a lady in her 60s, felt her hands were no longer matching the energy and freshness she still felt in herself. Over time, she had noticed increasing volume loss on the backs of the hands, with the skin looking thinner, more crepey, and more lined. What she wanted was not simply “fuller hands,” but hands that looked smoother, better supported, and more youthful overall.

At her consultation with Medical Aesthetics 360, our doctors assessed the quality of the skin, the degree of volume loss, the visibility of veins and tendons, and the overall texture of the dorsal hands. This part of assessment was important because ageing hands usually reflect more than one change at once: the skin becomes less elastic and more translucent, while veins, joints, tendons, and bony structures often become more visible as support under the skin reduces. 

A personalised plan was discussed using biostimulatory agents, a material used for hand augmentation to correct volume loss in the dorsum of the hands. Its appeal in hand rejuvenation is that it can provide an immediate volumising effect while also supporting a longer-term biostimulatory response in the skin.

For her, this combination made sense. She liked the idea of restoring some softness and structure straight away, while also supporting gradual improvement in skin quality, crepiness, and fine wrinkling over time. Rather than creating an artificial look, the aim was to help the hands appear smoother, better cushioned, and more consistent with the rest of her appearance.

She also appreciated that the discussion was realistic. It was explained that hand rejuvenation can be rewarding, but like all medical procedures, it needs to be planned carefully around anatomy, tissue quality, and expected recovery. Potential effects such as swelling, bruising, tenderness, itching, redness, lumps or nodules are listed in TGA safety documentation and are part of the normal informed-consent discussion.