Hand Rejuvenation: The Secret to Youthful Hands

Dr. Nina Sheffield explains:

“Most people don’t realise how early the ageing process begins. By the time we reach our late 20s, our collagen production starts to decline, and the skin begins to lose its natural ability to retain moisture. This is why I always advise my patients to start caring for their hands as early as possible—just as they would for their face. Prevention is always better than correction.”

She continues:

“By your 30s and 40s, signs of ageing such as fine lines, pigmentation, and volume loss start becoming more noticeable. This is the best time to introduce professional treatments like skin boosters and light-based therapies. If we start early with hydration and collagen stimulation, we can delay significant ageing changes and maintain beautiful, youthful-looking hands for much longer.”

When to Start with Skin Boosters?

Skin boosters are a great starting point for those looking to maintain hydration and improve skin quality before visible ageing sets in.

Dr. Nina Sheffield advises:

“Many of my patients ask when they should start injectable treatments for their hands. My answer? It depends on their skin quality. If someone in their early 30s is already noticing dryness and fine lines, I would recommend starting with Profhilo or Juvederm Volite to deeply hydrate and plump the skin. If they are in their 40s or older and experiencing thinning skin, we may need to introduce collagen-stimulating treatments such as Sunekos or Polynucleotides.”

She further explains:

“A great approach is to begin with hydration first, using hyaluronic acid-based skin boosters. Once the skin is well-hydrated and more resilient, we can introduce treatments that stimulate fibroblasts to boost collagen and elastin production, such as Polynucleotides. This step-by-step method ensures the best, most natural-looking results.”

• Addressing Pigmentation & Skin Quality

One of the most common concerns with ageing hands is pigmentation—brown spots, sun damage, and uneven skin tone caused by UV exposure. These can be effectively treated with light-based technologies, which target and break down pigment while also stimulating skin renewal.

Dr. Nina Sheffield highlights the importance of treating pigmentation early:

Sun exposure is a major contributor to premature ageing of the hands.

Even if someone doesn’t have deep wrinkles, pigmentation alone can make the hands look much older. Fortunately, IPL and laser treatments can remove unwanted pigmentation while also rejuvenating the skin.”

• IPL (Intense Pulsed Light) for Superficial Pigmentation

IPL is an excellent option for treating surface-level pigmentation such as sunspots and freckles. It uses broad-spectrum light to target melanin, gradually breaking it down and fading unwanted pigmentation. At the same time, IPL stimulates collagen production, helping to improve skin texture and overall skin quality.

• Q-Switched Laser for Deep Pigmentation

For deeper, dermal pigmentation, Q-switched lasers penetrate further into the skin, breaking down stubborn pigment deposits. This treatment is ideal for age spots, melasma, and resistant pigmentation that IPL may not fully address. Like IPL, Q-switched lasers also have rejuvenating benefits, improving skin laxity, tone and smoothness.

Injectable Treatments for Hand Rejuvenation

Step 1: Hydration with Skin Boosters

For younger patients or those just starting with hand rejuvenation, focusing on deep hydration first is key. Profhilo Juvederm Volite (Hyaluronic Acid-Based Skin Boosters): Deliver intense hydration deep into the skin Improve skin elasticity and fine lines Stimulate collagen and elastin production over time

“If a patient’s main concern is dehydration and loss of elasticity, I always start with these boosters before moving on to more structural fillers,” says Dr. Nina.

Step 2: Biostimulation with Sunekos or Polynucleotides

For thinning, fragile skin, biostimulators encourage natural regeneration and help rebuild the skin’s strength. Sunekos (Amino Acid HA-Based Biostimulator): Stimulates fibroblasts to increase collagen and elastin production Ideal for thin, delicate skin prone to fine lines Polynucleotides (Regenerative Skin Boosters): Trigger tissue repair and collagen regeneration; Improve firmness and skin density.

“Polynucleotides are fantastic for improving the foundation of the skin before adding volume with fillers. This way, we achieve much better long-term results,” Dr. Nina explains.

Step 3: Volume Restoration with Dermal Fillers

For hands that have lost significant volume, dermal fillers provide instant plumping and a more youthful look.

HarmoniCa (Hybrid Filler: HA and Calcium Hydroxyapatite): provides immediate volume with hyaluronic acid (HA) and stimulates collagen with calcium hydroxyapatite microspheres, offering long-term firmness. Results last up to 18–24 months.

Ellansé (Collagen-Stimulating Filler): Composed of polycaprolactone (PCL) microspheres, which trigger natural collagen production Results last up to 2–3 years

“If volume loss is the main concern, I recommend HarmoniCa because it not only restores fullness instantly but also improves the skin over time by stimulating collagen. This gives a natural, long-lasting result,” says Dr. Nina

Is There Downtime After Hand Rejuvenation?

Thanks to the minimally invasive nature of these treatments, downtime is generally short or non-existent. Some clients may experience light swelling, tenderness, or mild redness, which typically resolves within 1–3 days. Our team provides detailed aftercare instructions to ensure your recovery is smooth and stress-free.

When Will I See Results?

Most patients begin to notice enhanced hydration and softness within days of skin booster treatments. Volume-enhancing injectables such as HarmoniCa provide near-instant results, which continue to improve over the following weeks as collagen production is stimulated. Laser treatments for pigmentation often require a short course (2–3 sessions), but improvement can usually be seen after the first procedure.

What Makes This Approach Unique?

What truly sets our hand rejuvenation protocol apart is the combination of multiple modalities in a personalised sequence. Rather than a one-size-fits-all approach, Dr. Nina evaluates skin type, degree of ageing, and patient goals to create a synergistic treatment plan. This bespoke method maximises results while preserving natural beauty.

Are These Treatments Right for Men Too?

Absolutely. More men are now seeking aesthetic treatments to maintain a youthful, refreshed appearance. Our hand rejuvenation plans are completely gender-neutral and tailored to meet the needs of each individual client.

Why Do So Many People Forget About Their Hands?

Dr. Nina often says, “Hands are like the silent storytellers of our age.” While people routinely invest in facial treatments, hands are usually the last to receive attention. And yet, they’re exposed to sunlight, cleaning products, and environmental damage daily. With no make-up to cover them and constant visibility, it’s no surprise they age quickly.

Before After: What Results Can I Expect?

BEFORE: Dry, wrinkled, pigmented, and volume-deficient hands.

AFTER: Smooth, supple, evenly-toned skin with restored volume and youthful contours.

Will the Results Look Natural?

Yes, our goal is always to enhance your natural features, not to change them. Dr. Nina’s signature technique focuses on subtle refinement. Patients often report compliments on their hands looking more rested and elegant, without anyone suspecting they’ve had treatment.

How Much Do These Treatments Cost?

Prices begin at £250, depending on the treatment type and number of sessions required. During your consultation, a custom treatment plan will be developed along with a transparent breakdown of costs.

Don’t Miss the Video!

Be sure to watch our exclusive video with Dr. Nina as she walks you through her approach to restoring youthfulness to the hands. You’ll gain valuable insights and see exactly how these advanced treatments work. Ready to Transform Your Hands?

If you’re noticing signs of ageing in your hands—whether it’s dryness, pigmentation, or volume loss—book a consultation at rtwskin clinic in Tunbridge Wells with Dr. Nina Sheffield. With over 20 years of experience in medical aesthetics and laser technology, Dr. Nina will guide you through a personalised treatment plan to restore youthful, smooth, and radiant hands.