The back of the hands can be treated with surgery to tighten (and remove excess skin). To improve the wrinkles and to plump the tissue - injectables or fat transfer can be used as a quick in-office procedure with immediate improvement. For the fine skin with pigmentation changes due to aging and sun damage. The skin can be treated with creams as a home treatment or in office with microdermabrasion or chemical peel. Thermi can be used as a non-surgical alternative for restoring a more youthful appearance.
As one says - hands can give away the woman's age.