![ryankoopmans-ao](http://static2.refinery29.com/bin/entry/d31/x,80/1139268/ryankoopmans-ao.jpg)
Even Out Skin Tone
![aa-hands](http://static2.refinery29.com/bin/entry/892/x,80/1139267/aa-hands.jpg)
Enhance Volume
If your hands start to look too bony for your tastes, there are options to enhance volume and fat loss in the hands. But, a cream won’t do the trick. “There is very little fat on the back of the hands,” says Dr. Shieh. As we age, we lose collagen and elastin, making the tendons and veins more prominent. “The most effective treatment is to restore volume with a dermal filler,” she adds. Commonly used fillers include Radiesse, hyaluronic acids, and fat.
Reduce Brown Spots from the Sun
Whoever coined the term “liver spots” certainly wasn’t being very kind. Also, “senile freckles”? No comment. “Topical retinoids, hydroquinone, and botanical agents can help with hyperpigmentation disorders, but do not lighten sunspots appreciably,” Dr. Shieh says. “For light spots, a series of superficial to medium-depth peels are effective. For dark spots, the most effective treatment is a series of intense pulsed light treatments or a focused pigmented laser treatment.”
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