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 can be used as the 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 Obagi system (creams) at home treatment or in office with chemical peel.
As one says - hands can give away the woman's age.