Hand aging refers to the visible changes that occur over time, including thinning skin, loss of volume, age spots, and prominent veins, contributing to an older appearance of the hands. As we age, the skin on the hands tends to become thinner and loses its elasticity, making veins and tendons more noticeable. The loss of fat and collagen can lead to a bony appearance and a decrease in overall volume. There are many options to address hand aging which include dermal fillers to restore volume, laser therapy to improve pigmentation and texture, and chemical peels to promote skin rejuvenation.