How to improve signs of aging hands? And, why is it fragile?

I am 55 years young. The skin on my hands is thin and easily gets cuts, grazes etc. No skin tears yet. I believe products with Growth Factors, Hydroxy..... and Retin A are the products to assist in rebuilding some collagen and elastin. Any products that you can recommend. I am a nurse, so I need my hands to look healthy.

Here are the things I hear from our patients about their hands as they’re aging, and they include your problem above. The skin on the backs of the hands IS naturally thinner than….say the back. You’re not imagining that.

  1. My skin on the back of my hands is really thin and fragile.
  2. My skin is really blotchy and has “age” spots.
  3. My veins stick out.

Aging hands (the backs of them) is caused by 3 things mostly:

  1. Sun damage! The brown spots are due to sun. Use a sunscreen every day, the Bloxsun gloves when you drive, double glove if you golf etc. and just try to cover them. IPL or Fraxel lasers also help if you already have these.
  2. Thin and fragile. Sun damage and age play a part here also. Avoid irritating cleansers and soaps and this is tough in healthcare as we know. You can get a little improvement with an antioxidant, suncreen, and a gentle glycolic for example (try SkinCeuticals Neck, Chest, Hand)  Also, certain medications aggravate this like ibuprofen, naproxen and certain other NSAIDS (there are others also) in a genetically susceptible individuals. This is called pseudo porphyria or pseudo PCT (pseudo porphyria cutanea tarda). Who invented these names anyway! You’ll need a doctor to help you with this.
  3. Prominent veins. These can be camoflauged by adding volume. This is usually done with hyaluronic acid fillers like Juvederm, Sculptra (experts only), or sometimes fat transfer. The fillers are off-label uses.

Hope this helps, Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!