Hand Rejuvenation · Kensington, London

Home / Faciem Hand Rejuvenation Treatment

Hand Rejuvenation in London for Age Spots, Crepey Skin and Lost Volume

Hand rejuvenation is a group of treatments for the backs of the hands: sun-related age spots, crepey texture, and the thinning of the fat pad that leaves tendons and veins standing out. At Faciem Dermatology & Medical Clinic those two things — the skin surface and the tissue beneath it — are assessed as separate problems, and every stage is planned and carried out by Dr Prasad, a GMC-registered doctor with 20 years’ experience.

The hands are examined before any cosmetic treatment is discussed. Sun-exposed skin collects harmless marks and marks that need diagnosis side by side, and telling one from the other is a medical judgement, so it comes first. Appointments run 45 to 60 minutes, and a course of one to three sessions is the usual advice.

96%

Patient satisfaction

This page sets out how hand rejuvenation is assessed, priced and carried out at Faciem, and is reviewed for clinical accuracy.
Last reviewed: 14 July 2026.
Patient information only. Hand rejuvenation covers several different procedures, and which of them suits you is decided at a face-to-face consultation with Dr Prasad.

Patients since 2019

0 +

Procedures

0 +

Satisfaction

0 %

On this page:

TL;DR

Hand rejuvenation at Faciem Dermatology & Medical Clinic treats the backs of the hands: sun-related age spots, rough or crepey texture, and the loss of volume that leaves tendons and veins sharply defined. Dr Prasad, a GMC-registered doctor with 20 years’ experience, examines both hands before a plan is written, then carries out the treatment herself. Appointments last 45 to 60 minutes and one to three sessions is the usual course. A HydraFacial of the hands is £150; microneedling is £200, skin-boosting injectable treatment £400, and dermal filler for the hands from £250 for 0.5ml. Most people are back to ordinary activity the same day, and results show either immediately or within four to six weeks depending on which treatments are combined.

Treatment at a Glance

Hand Rejuvenation at a Glance

Procedure time

45–60 minutes

The appointment length depends on how many treatments are combined on the day.

Treatment price

From £150

A HydraFacial of the hands is £150; anything added to the plan is priced on top.

Results visible

Immediately or within 4–6 weeks

Surface smoothness shows first; pigment and skin quality take longer to settle.

Sessions

1–3 sessions

How many you are advised to have follows the examination and your response to the first appointment.

Downtime

Depends on the treatment used

Resurfacing and injectable treatment recover differently; yours is described before you book.

Back to work

Same day, depending on treatment

What is realistic for your appointment is confirmed before you book it.

Prices are a guide and are agreed in writing before treatment, which follows a face-to-face consultation with Dr Prasad. Ask what the consultation itself costs when you book.

About the Treatment

What Is Hand Rejuvenation and How Does It Work?

The backs of the hands age differently from the face, and they are treated differently because of it.

Hand rejuvenation is a group of treatments for the backs of the hands that addresses sun-related pigmentation, rough or crepey texture, and the loss of soft tissue that once covered the tendons and veins. At Faciem the skin surface is resurfaced, and lost volume is treated as a separate procedure where a face-to-face examination shows that is what the hands need.

Why do the backs of the hands show age first?

The backs of the hands show age early because the skin there is thin, sits on very little underlying fat, and takes more ultraviolet exposure across a lifetime than anywhere except the face. Three changes tend to arrive together. Pigment gathers into flat brown marks, the process set out on our age spots and freckles page. The surface roughens and fine crepey lines appear as collagen and elastin decline. Underneath, the fat pad that cushioned the back of the hand thins, so the extensor tendons running to the fingers and the veins beneath the skin become sharply defined.

Hand rejuvenation works on those layers separately, which is the single most useful thing to understand before booking anything. Resurfacing and medical-grade topical treatment deal with pigment and texture at the surface. Volume, where it is part of the picture, needs a different approach altogether.

Why hand rejuvenation is doctor-led at Faciem

Hand rejuvenation at Faciem is doctor-led because the marks on an ageing hand are not all the same thing. Most flat brown patches are sun-related pigmentation. Some are seborrhoeic keratoses. A few are not benign at all, and the backs of the hands are a common site for sun-driven lesions that need diagnosis before anything cosmetic happens to them. Dr Prasad examines both hands before a plan is written, and where a mark needs assessing she says so; that is dealt with separately through mole checks.

The second reason is anatomical. The back of the hand carries tendons, veins and nerves immediately below thin skin, so an injectable treatment placed there depends on technique and placement more than on product choice. Dr Prasad assesses, plans and performs the treatment herself.

What happens during a hand rejuvenation appointment

A hand rejuvenation appointment is a seated treatment running 45 to 60 minutes. The resurfacing stage uses a HydraFacial device with tips selected for the hands, working by suction and solution — no heat, no needles. Where a chemical peel is added, its depth is chosen for your skin, and warmth or tingling while it sits on the skin is usual.

Skin tone is assessed on the Fitzpatrick scale before a peel depth or a product strength is chosen. Deeper skin tones, Fitzpatrick IV to VI, can be treated on the hands, but the peel is kept more superficial, the strength is built up over successive appointments and a test patch counts for more, because the risk being managed is post-inflammatory pigmentation — the treatment itself leaving a mark on skin that pigments readily. Age spots on the backs of the hands are common in every skin type, and so is the need for daily sun protection for at least four weeks afterwards.

Sensation is different where volume is being treated, because that is an injectable procedure, and what is used to keep you comfortable is agreed at your consultation. Dr Prasad talks each stage through before it starts, and anything likely to be uncomfortable is described honestly beforehand.

The products and devices used on the hands

Which products appear in your plan depends on what the examination shows. Resurfacing uses a HydraFacial® device with tips chosen for the hands, alongside medical-grade topical products from the ZO Skin Health range, including an enzymatic peel used on the nails and cuticles. Chemical peels of varying depths are used where pigment and texture need more than resurfacing on its own.

Where the examination shows lost volume and skin laxity, the treatments used are Profhilo® and Juvéderm® dermal filler placed with a cannula. Those are injectable medical products, named here for information and not as an offer: they are used only where a face-to-face examination supports it. Microneedling is a further option for the backs of the hands, priced at £200.

Where hand rejuvenation sits alongside other treatment

Hand rejuvenation is one of several treatments the clinic offers below the neck. If your concern is the feet — hard skin, rough heels, persistent dryness — that is a different treatment using different products, set out on the feet rejuvenation page. People who want both usually start at the combined hand and foot treatments overview.

Thin skin, pigment and crepey texture follow the same pattern on the neck and chest, and patients who notice the change on their hands often notice it there too. Between appointments, most of the work is done at home, so medical-grade skincare is built into the plan and not sold as an afterthought.

What Hand Rejuvenation Treats

The Hand Concerns We Treat, Grouped by Type

Hand rejuvenation at Faciem addresses three separate groups of concern on the backs of the hands: sun damage and age spots, skin quality including crepey texture, nails and cuticles, and the lost volume that exposes tendons and veins. Each group responds to a different method, and most plans draw on more than one.

ZONE I

Volume and contour

Changes beneath the skin, not on its surface.

Loss of volume across the back of the hand

The fat that cushions the back of the hand thins with age, leaving a hollowed look between the knuckles and the wrist. Where examination shows this is the main problem, resurfacing alone will not change it.

Prominent extensor tendons

As the tissue over them thins, the tendons running to the fingers stand out more sharply. Treatment aims to soften how defined they look; results vary between individuals and suitability is confirmed at consultation.

Visible veins on the back of the hand

Veins become more obvious as the tissue covering them thins. Any decision about treating prominent hand veins is a medical one, made at a face-to-face examination and never from a photograph.

Skin laxity on the hands

Loose, lax skin over the back of the hand usually accompanies volume loss. Skin-boosting injectable treatment is used for laxity and volume together, where examination supports it.

ZONE II

Sun damage and age spots

The marks left by a lifetime of ultraviolet exposure.

Age spots and sun spots

Flat brown marks on the backs of the hands are the single most common reason people ask about hand treatment. Each mark is examined first, because not every brown patch on a sun-exposed hand is a simple age spot.

Uneven tone and a weathered surface

Patchy colour and dullness respond to resurfacing and medical-grade topical treatment. How much change is realistic varies between individuals, and that is discussed honestly before you commit to a course.

ZONE III

Skin quality, texture and nails

The surface itself: how the skin feels, and how the nails and cuticles look.

Fine lines and crepey skin

Finely lined, papery skin across the back of the hand is a texture problem, not a volume one. Resurfacing and medical-grade products are used to improve skin quality and soften fine lines.

Rough, hard skin over the knuckles

Thickened skin across the knuckles and finger joints is included in what a hand appointment covers. Where it is extensive or matched on both hands, it is assessed on the same terms as hard skin on the elbows and knees before anything is buffed away.

Dryness and a worn-down barrier

Hands are washed more often than any other skin, and repeated washing, detergents and alcohol gels strip the barrier. For this concern, home care matters as much as the appointment does.

Nails and cuticles

A nail and cuticle treatment using a ZO enzymatic peel forms part of a hand appointment. Nails that are thickened, discoloured or affected on one side only are assessed medically first.

Choosing the Right Treatment

Hand Rejuvenation vs Injectable Volume Treatment: What’s the Difference?

The useful comparison on the hands is between treating the skin and treating what lies beneath it. Skin-led hand rejuvenation resurfaces the surface and works on age spots, texture and dryness. Injectable volume treatment addresses the thinning tissue that leaves tendons and veins prominent. They answer different complaints, and many people are advised to start with one before considering both.

Comparison of skin-led hand rejuvenation and injectable volume treatment for the backs of the hands.
	Skin-led hand rejuvenation	Injectable volume treatment
How it works	Resurfacing with a HydraFacial device and tips chosen for the hands, with chemical peels and medical-grade topical products added according to what the skin needs.	An injectable product is placed under the skin with a cannula, to address lost volume and laxity.
Best for	Age spots, uneven tone, rough or crepey texture, dryness, and the appearance of the nails and cuticles.	Hollowing between the knuckles and the wrist, and the sharply defined tendons and veins that follow it.
Results appear	Immediately or within four to six weeks, depending on which treatments are combined.	Confirmed at consultation
Typical course	One to three sessions, spaced according to how the skin responds.	Confirmed at consultation
Downtime	Depends on which treatments are used; a same-day return to normal activity is usual.	Confirmed at consultation
Ideal candidate	Someone whose hands look marked, weathered or dry but whose contour has not changed a great deal.	Someone whose main complaint is hollowing and prominence of tendons and veins, confirmed on examination.

Results vary between individuals and neither route suits everyone. Where a treatment is unlikely to give you what you are asking for, Dr Prasad tells you so at the consultation — including when the honest answer is that neither option is right, and that daily sun protection with a good home routine would serve your hands better.

Transparent Pricing

How Much Does Hand Rejuvenation Cost in London?

A HydraFacial of the hands is £150 at Faciem. What you pay altogether turns on whether a chemical peel is added, whether medical-grade home products form part of the plan, and whether volume is treated as well as the skin surface. Microneedling for the hands is £200, skin-boosting injectable treatment £400, and dermal filler for the backs of the hands is priced from £250 for 0.5ml. One to three sessions is the usual course, so ask what the whole course costs, not one appointment.

Comparing hand treatment prices across London is harder than it looks, because the same phrase covers very different appointments. One quote may be for a single resurfacing session; another may include an injectable product priced by the syringe. Ask which device or product will be used, how many sessions are being recommended, and who will be performing the treatment. Those are the figures to compare.

Everything you agree to is written down before treatment begins, and nothing extra is added once you are in the chair. Contact us for the current consultation fee, which is confirmed in writing before your appointment.

Treatment	Price
Hand rejuvenation — HydraFacial of the hands	£150
Microneedling for the backs of the hands	£200
Dermal filler for the backs of the hands, 0.5ml	From £250
Consultation with Dr Prasad	Confirmed at consultation

Why Faciem

Hands Examined Before They Are Treated

Hand rejuvenation at Faciem begins with an examination of both hands, not with a menu of treatments. The backs of the hands are a sun-exposed site where harmless marks and marks that need proper assessment sit side by side, and where thin skin over tendons and veins makes technique count for more than product.

Hands examined by Dr Prasad, a GMC-registered doctor, before any treatment is planned
Age spots, crepey texture and volume loss assessed, explained and priced as separate problems
Brown marks looked at properly, because not every mark on a sun-exposed hand is an age spot
Treatment carried out by the same doctor who examined you, never delegated afterwards
Home care built into the plan, since hands are washed more often than any other skin
Clinic operated by a CQC-registered provider, with pricing agreed in writing beforehand

Experience & Expertise

Why Technique Matters on the Backs of the Hands

Hands are less forgiving than faces. The skin is thin, it sits directly over tendons, veins and nerves, and there is very little tissue to hide an uneven result. Anything placed beneath that skin depends on where it goes and how it is placed, not on which brand is used. Resurfacing has its own margins: too aggressive on hands already thinned by sun exposure, and the recovery outlasts the improvement.

There is a diagnostic side to this as well. The backs of the hands accumulate more ultraviolet damage than almost anywhere on the body, so they are a site where a mark deserves a look from someone qualified to recognise what should not simply be polished away. Dr Prasad, a GMC-registered doctor with 20 years’ experience, examines your hands, tells you which of your concerns are surface and which are structural, and performs the treatment herself. Where she thinks a treatment will not achieve what you want, she says so.

Dr Anamica Prasad — MBChB (1999), Dip Dermatology (2001), MRCGP, DFFP, DRCOG · a GMC-registered doctor
Member of the Joint Council for Cosmetic Practitioners (JCCP), British Medical Laser Association (BMLA), Royal Society of Medicine and the Aesthetic Complications Group · ZO Skin Health UK Faculty & Trainer
Clinic operated by Derma Medical UK Ltd — registered with the Care Quality Commission (CQC) for diagnostic and screening procedures, surgical procedures, and treatment of disease, disorder or injury (Location ID 1-25573003746)
Face-to-face medical consultation and examination of both hands before any treatment is planned
20 years’ experience in dermatology and aesthetic medicine, treating skin on the body as well as the face

Patient Reviews

Rated Excellent by Patients on Google

Your Journey, Our Promise

Your Hand Treatment, Step by Step

Hand treatment at Faciem runs in four stages: an examination of both hands, a costed written plan you approve, the appointment itself, and a review to judge how the skin responded. Dr Prasad handles all four.

STEP 01

Examining both hands

Both hands are examined under good light, and surface change is separated from structural change: the spread of sun damage and age spots, the quality and thickness of the skin, how much volume has gone from the back of the hand, and how sharply the tendons and veins stand out. Marks that need diagnosis are picked up here. Whether anything is treated on the same day follows that examination.

STEP 02

Your plan, in writing

You see what is recommended, in what order, how many appointments and what each one costs before you commit to any of it. The usual course runs to between one and three appointments. Where work on the skin surface alone will do the job, that is what you are offered.

STEP 03

The appointment

The appointment runs 45 to 60 minutes, seated, with both hands treated. Resurfacing comes first, with a peel or medical-grade products added according to your plan, and the nails and cuticles included where they form part of it. Where volume is being treated, that is a separate injectable procedure performed by Dr Prasad.

STEP 04

Aftercare and review

You leave with written aftercare, including sun protection for hands that stay more sun-sensitive for around four weeks. Redness and tightness settle in 24 to 48 hours; flaking after a peel runs from roughly day three to day seven; tone and texture keep changing for four to six weeks. The review is usually set at that four-to-six-week point, when there is something to judge — Dr Prasad then adjusts what comes next: a second session, a change of product, or nothing further. Whether the review carries a charge is confirmed at your consultation.

Side Effects & Safety

Is Hand Rejuvenation Safe?

Hand rejuvenation is generally well tolerated, but how safely any version of it goes depends on who examines you and what is used. The backs of the hands are thin-skinned and lie directly over tendons and veins, and they are also a site where sun damage and skin lesions must be told apart before anything cosmetic is done to them.

Common, temporary effects

Uncommon effects

Less common effects include redness that lingers and a change in pigment in the treated area, which is more likely in deeper skin tones and after deeper peels. Injectable treatment carries its own possibilities: bruising, swelling and lumpiness at the site, which is one reason it is performed by a doctor and not delegated. Anything that is not settling should be reported to the clinic instead of waited out. The risks of each treatment in your plan are gone through with you before you agree to it.

Who hand rejuvenation is not for

Aftercare

Looking After Your Hands Afterwards

Aftercare counts for more on the hands than on almost any other treated area, because hands are washed, dried and exposed to sun and detergent dozens of times a day. The arc is short: redness and tightness for 24 to 48 hours, light flaking from about day three to day seven where a peel was used, then four to six weeks in which tone and texture carry on improving. The most useful single habit across all of it is sun protection on the backs of the hands, every morning and again after washing — it also slows the return of the age spots you have just treated.

Do

Apply broad-spectrum SPF 50 to the backs of the hands every morning, and keep it up daily for at least 12 weeks
Reapply sun protection after every hand wash, and at least every two hours if you are outdoors
Use a fragrance-free emollient three or four times a day for the first week, to keep the barrier supported
Wear gloves for washing up, cleaning and gardening for the first seven days
Restart the medical-grade products Dr Prasad has recommended on the day your written aftercare gives, usually three to five days after a peel

Avoid

Sun on unprotected hands for at least four weeks, including through a car window on the drive home
Very hot water, harsh soaps and alcohol hand gels for the first 48 hours
Picking or pulling at flaking, which after a peel usually lasts three to seven days
Scrubs, exfoliating acids and retinoids at home for seven days, or until you are told they are safe again
Manicures, gel removal and cuticle work for at least seven days after the appointment

General guidance only. The written aftercare handed to you on the day is specific to the treatments your hands actually had, and it takes precedence over anything here. Ring the clinic on +44 20 7131 3539 if something about your hands concerns you; do not sit on it until the review.

Hand Rejuvenation FAQs

Your Questions, Answered

Cost, sensation, age spots, downtime and how long a course runs — answered here. Anything not covered, bring it to the consultation.

How much does hand rejuvenation cost in London?

A HydraFacial of the hands is £150 at Faciem. The other elements are priced separately: microneedling at £200, skin-boosting injectable treatment at £400, and dermal filler for the backs of the hands from £250 for 0.5ml. Because one to three sessions are usually advised, ask for the total across the course; you will have it in writing before anything is booked.

Does hand rejuvenation hurt?

Most patients describe hand rejuvenation as a cool tugging sensation rather than a sore one. The resurfacing stage works by suction and solution, with no heat and no needles. A chemical peel feels warm or tingling for the few minutes it sits on the skin, and that eases as it is removed. Injectable treatment for volume is a sharper but much briefer sensation, and what is used to keep you comfortable — topical numbing, or a product containing local anaesthetic — is agreed with you before anything starts.

How long do hand rejuvenation results last?

Hand rejuvenation results show either immediately or within four to six weeks, depending on which treatments are combined. How long they hold differs between skin treatments and volume treatments, and between individuals, so what to expect for your hands is explained at your consultation before you start.

Can hand rejuvenation remove age spots on my hands?

Resurfacing, chemical peels and medical-grade products are used to improve sun-related age spots on the backs of the hands, and results vary between individuals. What matters more is that every brown mark is examined first: not all of them are age spots, and some need diagnosis before any cosmetic treatment is considered.

What can be done about veins and tendons showing on my hands?

Prominent tendons and veins usually follow the thinning of the fat pad on the back of the hand, so they are a volume question, not a skin one. Injectable treatment is used for volume loss and laxity, placed with a cannula. Whether that suits your hands is decided at a face-to-face examination with Dr Prasad.

Am I suitable for hand rejuvenation?

Suitability for hand rejuvenation is assessed individually at a face-to-face consultation with Dr Prasad. She examines both hands, checks any marks needing medical assessment first, and asks about medicines and skin conditions. Active infection, broken skin or a lesion needing diagnosis is dealt with before cosmetic treatment is considered.

When can I have a manicure or gel nails after hand rejuvenation?

Leave manicures, gel application and gel removal for at least seven days after hand rejuvenation, and longer if the skin around the nails is still flaking. Acetone soaks and cuticle cutting on freshly treated skin are the two things most likely to leave the hands sore, so book your nails before the appointment rather than after. A nail and cuticle treatment using a ZO enzymatic peel forms part of the appointment itself, which is why you are asked to arrive with nails bare.

Can men have hand rejuvenation?

Yes. Men are often affected by sun-related marks and thickened, weathered skin on the backs of the hands, particularly after outdoor work or years of driving. Assessment and treatment are the same, though the plan tends to weight surface damage over volume. Suitability is confirmed at consultation.

How many hand rejuvenation sessions will I need?

One to three sessions is the usual course of hand rejuvenation. How many you are advised to have depends on what the examination shows and how your skin responds to the first appointment; the spacing between sessions is set out in the plan you agree at consultation.

Is hand rejuvenation the same as the treatment for feet?

No. Hands are treated mainly for age spots, sun damage, crepey texture and lost volume. Feet are treated mainly for hard skin, dryness and rough heels, using different products, and that is set out on our feet rejuvenation page. Some patients have both, which is covered on the combined hand and foot treatments page.

Will my hands look natural afterwards?

The aim of hand rejuvenation is hands that look like your own, in better condition. Restraint matters more than volume here, because too much filler on a thin-skinned hand shows. Dr Prasad tells you what is realistic for your hands before you commit, and results vary between individuals.

Can I go back to work the same day after hand rejuvenation?

Most people go back to work the same day after hand rejuvenation, because there is nothing to cover up and the hands stay usable throughout. Expect redness and tightness for 24 to 48 hours, and light flaking around day three to day seven if a peel was used. Where volume has been treated by injection, allow a few days in case of bruising. If the appointment is for a wedding or photographs, book it at least two weeks ahead.

Hand Rejuvenation in Kensington, London

A Doctor-Led Clinic in the Heart of Kensington

Our clinic sits on Kensington Church St, the road running north from High Street Kensington station towards Notting Hill Gate — a few minutes’ walk from the first, about ten from the second. Patients come in from Chelsea, Bayswater, Holland Park and further out across west London. Hands are the one treated area nobody has to cover up afterwards, so the appointment fits into an ordinary working day.

Hand rejuvenation is available at Faciem Dermatology & Medical Clinic on Kensington Church St, London, led by Dr Prasad. Appointments run Monday to Saturday between 10am and 7pm, Sunday closed, and the diary is open online. Allow 45 to 60 minutes. Two practical points: rings and hand jewellery come off, and if nails and cuticles form part of your plan, arrive with them bare. There is council underground parking close by for anyone driving in.

Ringing round London clinics about your hands? Ask four things. Does a face-to-face consultation happen before a booking is taken? Does whoever treats you hold current GMC, NMC or GDC registration — checked on the register itself, not on a clinic website? Will the device or product be named to you? And does the quote arrive in writing, covering the number of sessions proposed and what happens if you need fewer?

People often arrive with a date in mind: a wedding, a set of photographs, a job that puts their hands in front of other people. Say so at the consultation, because a deadline changes the sequence and the spacing more than it changes the treatment itself. A consultation commits you to nothing on the day, and if daily sun protection and a decent home routine would serve your hands better than an appointment, Dr Prasad will tell you that instead.

Plan Your Visit

Faciem Dermatology & Medical Clinic
Phone: +44 20 7131 3539
7 Kensington Church St, London W8 4LF, United Kingdom
Tube: High Street Kensington (few minutes’ walk) · Notting Hill Gate (~10 minutes)
Parking: Kensington council underground car park nearby
Open Monday–Saturday, 10am–7pm · Sunday closed
Hand appointments bookable online · 45 to 60 minutes
Consultation-first — no treatment without medical assessment
Serving Kensington, Chelsea, Notting Hill & Central London

Continue Exploring

Related Treatments & Reading

All Aesthetic Treatments

Explore the full range of doctor-led skin and aesthetic treatments available at Faciem, from injectables to medical-grade skincare.

View treatments →

Skin Health Blog

Expert articles from the Faciem team on skin ageing, treatment advice and how to get the best from your skincare.

Read the blog →

Faciem Dermatology & Medical Clinic · Kensington

Have Your Hands Examined by Dr Prasad

Book a face-to-face consultation to have the backs of your hands examined, find out which of your concerns are surface damage and which are volume loss, and take away a written plan with the cost agreed before anything starts. If you would like to hear from people treated here first, read our patient reviews.

Prefer to talk? +44 20 7131 3539