While rejuvenation efforts often centre on the face, the hands frequently go overlooked, even though they can be among the first indicators of ageing. Daily exposure to sun, pollution, and environmental stressors leads to cumulative damage, resulting in volume loss, prominent veins and tendons, fine lines and pigmentation that gives away the true age of the individual.
At Bay Aesthetics Clinic, we take a thoughtful and evidence-based approach to hand rejuvenation, combining laser and collagen-boosting injectable treatments for natural-looking outcomes. Before learning more about our treatment protocol, let’s find out just what’s behind the hand ageing process and why hand rejuvenation matters.
Hand rejuvenation treatments in Singapore
Anatomy of the Hand
The hands are constantly exposed to environmental stressors (Sun exposure, harsh detergents, elements) and repetitive movements, making them particularly vulnerable to the signs of ageing.
Anatomical Considerations
The dorsum (back) of the hand possesses structural characteristics that contribute to its susceptibility to ageing:
Skin Thickness: The skin on the back of the hand is significantly thinner (0.5-1.2mm) compared to the palm (2.0mm), making it more prone to wrinkling and sun damage.
Subcutaneous Fat Layer: A thin (1-2mm) layer of subcutaneous fat provides minimal cushioning and support. This layer diminishes with age, leading to increased visibility of underlying structures.
Extensor Tendons: Located just 2-4mm below the surface, these tendons become more prominent as the overlying fat diminishes.
Superficial Vein Network: Situated 1-3mm deep, these veins become more visible due to thinning skin and fat loss.
Ageing of the hands- loss of volume, pigmentation and fine lines
Anatomy of the hands (Dorsum)
Grading the severity of hand ageing
MERZ scale for grading the severity of hand ageing
Visible signs of ageing hands include:
Thin, crepey skin
Prominent veins and tendons
Age spots and uneven pigmentation
Dull or rough skin texture
The severity of hand ageing can be classified based on the MERZ Hand scale, which grades the degree of hand ageing from 0 to 4 based on the amount of subcutaneous volume loss and visibility of tendons and blood vessels.
Key Issues in Ageing Hands
Just like the ageing of the face, the skin of the hands faces 3 key issues
1) Volume Loss and Skin Thinning
2) Sun Spots, Pigmentation
3) Fine lines and texture
This is due to the age-related loss of collagen and subcutaneous fat, coupled with the development of pigmentation from sun exposure. As with ageing of the face, ageing of the hands is accelerated by factors such as smoking, UV exposure, rapid weight loss and medical illness. Specific to the hands, ageing may be caused by the use of harsh detergents or alcohol based hand washes or occupations such as dishwasher or laundry worker.
Aged hands with volume loss, prominent tendons and veins, as well as fine lines and pigmentation
Volume Loss and Skin Thinning
As collagen and fat beneath the skin decrease with age, the dorsum (back) of the hands can start to look bony, veiny and fragile. The space between the tendons becomes more visible and sunken-looking, and blood vessels appear prominent.
Radiesse injections for hand rejuvenation at Bay Aesthetics Clinic
Radiesse (Calcium Hydroxyapatite) is a regenerative collagen biostimulator specifically approved by the US FDA for hand rejuvenation. Unlike traditional hyaluronic acid fillers, it provides both volume and long-term collagen stimulation. Radiesse injections are a non-surgical procedure that can make hands look younger by reducing the appearance of wrinkles, visible veins, and tendons. The results are typically noticeable immediately after treatment and can last for a year or more.
How Radiesse injections work for hand rejuvenation
Volume Restoration: Radiesse is injected under the skin on the back of the hands, adding immediate volume to plump up the skin and reduce the appearance of wrinkles and tendons.
Collagen Stimulation: The calcium hydroxylapatite microspheres in Radiesse stimulate the body's natural collagen production, leading to longer-lasting results and improved skin texture.
Minimally Invasive: The procedure is minimally invasive, with little to no downtime. Most patients can resume their normal activities immediately after treatment.
Sun Spots, Pigmentation and Dullness
Hands are constantly exposed to sunlight, making them particularly prone to age spots, freckles, and pigmentation. Especially for individuals who work outdoors (eg farmers) or enjoy outdoor sports (eg golfers), pigmentation of the hands is a big giveaway of the individual’s age.
BBL HERO (Forever Young BBL) for hand rejuvenation
Treatment: Sciton BBL HERO
Sciton’s BBL (BroadBand Light)HERO is an effective light-based treatment for removing pigmentation and restoring even skin tone. Using the Forever Young BBL protocol on the hands, BBL HERO treatments are able to:
Breaks down pigmentation that causes brown spots
Stimulates skin renewal for bright, even-toned skin
Reverse skin ageing on a cellular level
BBL HERO delivers fast pulses of light energy to the skin's surface, with minimal discomfort. Most patients notice clearer skin within a few sessions.
Texture and Fine Lines
Even with volume restored and pigmentation reduced, ageing hands can still appear rough, dry or lined due to slower cell turnover.
MOXI Laser for hand rejuvenation
Treatment: MOXI Laser
MOXI is a non-ablative fractional laser designed for prejuvenation and early signs of ageing.
Promotes skin renewal by triggering controlled micro-injury
Improves texture, fine lines and crepiness
Gentle approach to skin resurfacing
MOXI is safe for all skin types (including darker skin types) and can be used throughout the year. It’s ideal for those looking to maintain youthful hands or enhance the effects of other treatments. Apart from treating the face and neck, it is common for MOXI Laser treatments to be performed to rejuvenate the hands, giving a smooth and polished look.
Bay Aesthetic Clinic’s Multi-Modal Hand Rejuvenation Approach
Our protocol is designed to target all visible signs of ageing on the hands.
Step 1: Correct pigmentation with BBL HERO
This first step targets brown spots, sun damage and uneven tone, setting the foundation for rejuvenation.
Step 2: Refine texture with MOXI Laser
Once pigmentation is addressed, we improve the skin’s surface and resilience. MOXI brightens skin with minimal peeling and flaking.
Step 3: Restore youthful volume with Radiesse
Finally, we restore lost volume to fill out hollows and reduce vein prominence, completing the transformation.
Each treatment supports the other, creating a natural, refreshed appearance that’s in harmony with your face.
What to Expect from Treatment
No downtime: Patients return to work or daily activities on the same day
Consultation withDr Bernard Tan or Dr Hoe Ying Min: Our doctors will assess your hand condition, skin type, and goals to craft a tailored plan
Customised schedule: Treatments can be spaced over weeks or months based on your comfort and priorities
Who Is Treatment For?
The best time to start was yesterday. The second best? Today. You shouldn’t wait till you are in your 50s or 60s to invest in hand rejuvenation treatment. And you also don’t need to see all the signs of ageing to consider this treatment. Like a savings account, hand rejuvenation treatments pay off with an early start.
Individuals who can consider hand rejuvenation
Clients in their 30s and 40s with early signs of hand ageing
Clients who are already undergoing face or neck rejuvenation treatments
Hand rejuvenation treatments at Bay Aesthetics Clinic
Book Your Hand Rejuvenation Consultation
With current Medical Aesthetics treatments, it's possible to look 5-10 years younger than your actual age. Don’t let your hands give away your true age!
At Bay Aesthetics Clinic, Dr Bernard Tan and Dr Hoe Ying Min have over 20 years of experience in aesthetic treatments. They understand the nuances of hand rejuvenation and are committed to delivering natural-looking results.
Whether you're noticing the first signs of ageing or want to maintain your already youthful appearance, our multi-modal approach can help.
With over 10 years of experience in aesthetic treatments, Dr Hoe Ying Min serves as the Medical Director at Bay Aesthetics Clinic. She has extensive hands-on experience in lasers, injectables, body-shaping and skin-rejuvenation procedures, and is known for her careful, personalised approach that aims for natural-looking outcomes.
Bay Aesthetics Clinic and Medispa is a doctor-led clinic located in the Marina Bay Financial Centre that delivers medical aesthetics and medispa treatments in a calm, professional setting. With a focus on safety, visible results and accessibility, the team uses only US FDA and HSA-approved technology, applies a holistic view to beauty and wellness, and avoids hard-selling or pressure tactics.
Open from 11 am daily (until 8 pm Mon-Fri; 6 pm Sat/Sun) and conveniently situated within walking distance of two MRT stations
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B2-12 Marina Bay Link Mall, 8A Marina Boulevard, Marina Bay Financial Center, Singapore 018984
