Hand Rejuvenation

No, and it is worth being clear about this. Filler does not remove or shrink veins — it rebuilds the soft tissue layer that used to sit over them, so they become less visible rather than absent. If your veins are very large or raised, expect them to be softened rather than hidden, and treatment for the veins themselves is a separate matter entirely.

No consultation fee applies — the appointment where we assess your hands and explain the options is complimentary. A booking fee is taken to hold that appointment time, which reserves the physician's schedule and cuts down on unattended slots. Reception explains the arrangement at the time of booking.

That is the treatment working. The light is absorbed by the pigment, which brings it to the surface as darker, sharper, coffee-ground-like flecks over the following days before it flakes away. It usually looks more noticeable than before for about a week. Leave it alone and let it shed on its own — picking at it is the main way people cause a mark that lingers.

Yes, and take them off before you come rather than after swelling begins. Hands swell noticeably after filler, and a ring that was comfortable in the morning can be genuinely difficult to remove by evening. Leave them off until the swelling has clearly settled.

For the most part, yes, but ease off for a few days after filler. Heavy gripping, lifting and repetitive strong hand use can affect how the product settles while it is still soft, and swelling makes fine work feel clumsy. If your job involves demanding hand use or constant handwashing, mention it so treatment can be scheduled at a sensible point in your week.

The cooler, darker months generally work better. Light-based pigment treatment cannot be done on recently tanned skin, and hands tan incidentally — through car windows, walking, gardening — without any deliberate sun exposure. Treating when your hands are at their palest, and when covering them afterwards is easy, gives the safest and most durable outcome.

Almost always. Hands are seen together and side by side constantly, so treating one leaves an obvious mismatch. There is also usually less difference between someone's two hands than they expect, though the dominant hand often shows more sun damage.

Not before it has been looked at properly. A pigmented spot that has changed in size, colour, shape or border needs medical assessment first, because treating a lesion with light removes the visible evidence without addressing what it actually is. Any such spot is reviewed before pigment treatment goes ahead — and this is a good reason to have hands examined by a physician rather than treated on sight.

Usually yes, but the conversation matters. Where very little soft tissue remains, filler still improves the contour, though the change tends to be more gradual and may be partial rather than complete. Some people are better served building up over more than one session than trying to correct everything at once. We would rather set that expectation before you start than have you disappointed afterwards.

Filler in the hands is temporary and gradually breaks down, so maintaining volume means repeating it over time. Pigment is different — treated spots do not return, but new ones form with ongoing sun exposure, so how often you need pigment treatment depends largely on how well you protect your hands. Diligent sun protection genuinely lengthens the interval.