By LIV Clinic · Medically reviewed by Dr. Narathai Vichienkalayarut, M.D. · Published August 14, 2026

Hands often reveal age before the face does — and they are one of the easiest places to turn back the clock.

Can dermal filler rejuvenate ageing hands? Yes — dermal filler can restore lost volume to the backs of the hands, softening the look of prominent veins and tendons and improving skin quality; Radiesse was the first filler FDA-approved for the hands, and hyaluronic acid fillers are also used.

Why hands show ageing

Volume loss

With age, the backs of the hands lose fat and volume, so veins and tendons become more prominent and the skin looks thinner and more crepey.

A common giveaway

Because hands are often overlooked in skincare, they can reveal age even when the face looks youthful.

How filler rejuvenates the hands

Restoring a cushion

Filler placed on the back of the hand restores a soft cushion of volume, softening the appearance of veins and tendons. The FDA lists the back of the hands among approved areas for certain dermal fillers.

Radiesse and HA

Radiesse was the first filler FDA-approved for the hands and also stimulates collagen; hyaluronic acid fillers such as Restylane are also used.

What it can improve

Hand filler commonly helps:

• Prominent veins and tendons on the back of the hand
• Thin, bony-looking hands
• Loss of volume and a crepey appearance
• Overall skin quality over time (with Radiesse)
• A more youthful match to a rejuvenated face

Hand filler options

Ranges are typical and vary per person.

What to expect

A quick treatment

Hand filler is quick, often around 10 to 20 minutes, frequently using a cannula, with immediate volume and little downtime.

Aftercare

Mild swelling or bruising can occur and settles over days; avoid heavy hand activity briefly and follow your clinician’s advice.

Who it suits

A good fit

Adults bothered by volume loss and prominent veins or tendons on the backs of the hands, often alongside facial rejuvenation.

Realistic expectations

It restores volume and softens the look; it does not remove veins or change skin pigmentation.

Preparing for and recovering from hand filler

Preparation and aftercare:

1. Have a consultation so Dr. Narathai can assess your hands and recommend a filler.
2. Avoid alcohol and blood-thinning supplements for 24–48 hours before, where appropriate.
3. Arrive with clean hands, no lotion on the area.
4. Use a cool compress gently if advised, and avoid heavy hand activity briefly.
5. Avoid saunas, intense sun and heavy exercise for the first day.
6. Use daily sun protection on the hands to support results.

Hand rejuvenation at LIV Clinic Koh Samui

At LIV Clinic, hand filler is doctor-led by Dr. Narathai, to restore natural volume and a youthful look. Explore our dermal filler services, read about full-face rejuvenation, or book a consultation.

Frequently asked questions

Safety and consultation

Hand filler is a medical procedure and, like any injectable, carries some risk — common temporary effects can include redness, swelling, bruising or a mild headache, and less common reactions are possible. Results vary from person to person, and no specific outcome can be promised. This article is general information, not medical advice.

At LIV Clinic, every treatment begins with an in-person assessment by Dr. Narathai Vichienkalayarut, M.D., who reviews your skin, medical history and goals before recommending a personalized plan. Book a consultation to find out whether this treatment suits you.