Doctor-led hand rejuvenation in Marylebone for age spots, volume loss and skin quality: dermal fillers, Radiesse, Profhilo, PicoSure and peels.
At Dr Joney De Souza in Marylebone, we rejuvenate ageing hands to restoring lost volume, refreshing skin quality and fading pigmentation, with a plan tailored to your main concern.
At Dr Joney De Souza in Marylebone, the right approach depends on your main concern – lost volume, skin quality, or pigmentation. Here is how the core options compare.
When the back of the hand loses its natural padding, veins and tendons start to show through and the hand looks older than you feel. Hyaluronic acid fillers such as Juvederm, Restylane and Teosyal replace that lost volume and soften the sharp ridges. Radiesse, a calcium-hydroxylapatite biostimulator, plumps the hand straight away and then stimulates your own collagen for a gradual, longer-lasting result.
Downtime is minimal, and the improvement keeps developing over the following weeks as the collagen builds. It is the same volumising principle we use on the face, so if you are exploring hand work you may also be considering dermal fillers for other areas.
Related treatments at Dr Joney De Souza: Profhilo and dermal fillers.
Thin, dull or crepey skin on the hands is a quality problem rather than a volume one, so it needs a different answer. Injectable skin boosters such as Profhilo and Teosyal Redensity deliver deep hydration and remodel the skin over a short course, improving thickness, elasticity and glow without adding structural bulk.
Most patients have a course of two sessions spaced around four weeks apart. The result is skin that looks fresher and feels more supple, and it pairs naturally with volume work when both are needed.
Brown age spots on the backs of the hands are the clearest giveaway of years spent in the sun, and they respond well to light-based treatment. PicoSure laser and Palomar IPL target the pigment so your body can clear it, evening out skin tone and refreshing the overall look. The focus here is colour and texture rather than volume.
A short course gives the best results, protected afterwards by daily sun care so the pigment does not simply return. Many patients treat their hands alongside MaxG IPL photorejuvenation on the face for a matching, even tone.
Not every hand needs injections or laser. Chemical peels and a dedicated HydraFacial for the hands improve surface pigmentation, brightness and rough texture with little to no downtime, which makes them a gentle first step or a comfortable way to maintain results between other treatments.
Your practitioner will advise how often to repeat them so the improvement holds. These surface treatments sit happily alongside injectable or laser work as part of a longer-term plan.
Individual results vary from person to person. Every treatment plan is tailored to the patient after a consultation with our clinical team.
Skin Booster results
There is no single best treatment, because it depends on your main concern. Volume loss is treated with fillers or Radiesse, skin quality with Profhilo or skin boosters, and pigmentation with PicoSure or IPL. Many patients at Dr Joney De Souza combine treatments for the most natural result, and your consultation will map out which order makes sense for you. Hand rejuvenation will not remove veins the way a vascular procedure does; it softens their appearance by restoring volume around them.
Yes. Restoring volume to the back of the hand with
dermal fillers or Radiesse softens the look of prominent veins and tendons. This is different from vein removal, and it does not close or destroy the veins themselves. The aim is to smooth and re-contour the hand so the veins sit less obviously beneath a fuller, more even surface.
Age spots and sun damage are treated with PicoSure laser or IPL, which break down excess pigment so the skin clears it over the following weeks. A short course usually gives the best results, and daily sun protection helps keep the spots from returning. If pigmentation is your main worry, it is worth reading more about how we approach
age spots across the hands and face.
Most treatments are well tolerated, with only brief discomfort during injections or laser, and cooling or numbing can be used to keep you comfortable. Downtime is minimal, so mild swelling, redness or bruising typically settles within a few days. Heavier bruising is uncommon but possible after volume work, so it is sensible to leave a little room before a big event.
It varies by treatment. Hyaluronic acid fillers last around 9 to 18 months, Radiesse builds collagen for longer-term improvement, skin boosters last several months, and laser pigmentation results are long-lasting with good skincare. Hands are used and washed constantly, so ongoing sun protection and occasional maintenance help the results hold for as long as possible.
It is safe when carried out by qualified medical professionals after a proper assessment. Carried out by Dr Joney De Souza or a member of our clinical team. Your consultation is with Dr Joney De Souza or Dr Mattia Parducci. Every treatment follows a detailed consultation to assess your skin health, circulation and suitability before anything is recommended.
Our patients return to us year after year for natural, balanced results. Every review reflects our commitment to precision, safety and a personalised approach to aesthetic care.
