The ageing hand, part two: extrinsic ageing and skin-rejuvenating procedures

Abstract

When rejuvenating the hands, the most aesthetically pleasing results are achieved when the effects of both intrinsic and extrinsic ageing are addressed, which often involves using a number of approaches. Extrinsic ageing affects both the epidermis and dermis, manifesting as dermatoheliosis (wrinkling, skin laxity, crepiness, rough texture and pigmentary changes). The skin of the dorsal hand can be effectively treated with a range of modalities, although their use must be adapted to account for the anatomical differences between facial skin and that on the hand. This second article in a two-part series will look at the various options for skin rejuvenation of the ageing hand.