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Aesthetic medicine · London

Hand rejuvenation, a multi-modal plan that actually holds.

Ageing hands need volume, pigment work and skin quality addressed together.

A stethoscope on a clinical desk

Indicative pricing

What private hand rejuvenation costs in London.

In short

A comprehensive package across volume, pigment and skin quality: £1,600 to £3,500, across two to three visits.

Treatment Indicative range
Radiesse hyperdilute, 1 vial across both hands £850–£1,400
HA filler (Juvederm Voluma or Restylane Lyft), per hand £450–£750
IPL for solar lentigines, per session (course of 3) £280–£450
Profhilo Body, 2 mL across both hands £280–£450
Polynucleotides or Volite skinbooster, both hands £300–£550
Comprehensive hand rejuvenation package £1,600–£3,500

Prices vary by clinic, by product volume, by the injector and by how many combination steps you choose.

What is treated

The five things that make hands look older, and what fixes each.

Volume loss, pigmentation, skin quality, laxity and extreme atrophy. Each has a targeted answer, and the best results come from combining them.

  • Prominent veins, tendons and knuckles

    The classic sign of dorsal fat pad loss. Hyperdilute Radiesse or HA filler restores the padding that hides the anatomy beneath.

  • Solar lentigines and age spots

    Flat brown marks from decades of UV. IPL or Q-switched Nd:YAG lifts them in a course of three sessions, with cryotherapy for stubborn spots.

  • Crepey, thinning skin

    Profhilo Body, polynucleotides or Volite as a skinbooster restores hydration and elastic tone across the dorsum.

  • Fine wrinkling and loss of bounce

    A medical-grade retinoid at home plus a superficial chemical peel course sharpens texture and refines the skin surface.

  • Laxity and early sagging

    RF microneedling or non-ablative laser skin tightening addresses the collagen scaffold when volume and hydration are not enough.

  • Uneven tone and dull complexion

    A stepped protocol of topical hydroquinone or a tyrosinase inhibitor, a retinoid and daily broad-spectrum SPF evens the base colour.

  • Extreme dorsal atrophy

    When skin is paper-thin and every structure shows, repeated volumising sessions or autologous fat transfer are the honest answers.

  • When to see a dermatologist first

    A pigmented lesion that has changed, itched or bled is not an age spot. It is a dermoscopy appointment before any IPL is fired.

Treatment options

The full toolkit, and how the pieces fit together.

Each option, honestly framed. The sweet spot for most patients is one volumising treatment plus one pigmentation treatment plus one skin-quality treatment.

  • Radiesse hyperdilute (calcium hydroxylapatite)

    One vial diluted with 3 to 6 mL of lidocaine and saline, injected subcutaneously with a cannula through 4 to 6 points. Immediate volume, then 9 to 18 months of biostimulation as your own collagen builds.

  • HA filler (Juvederm Voluma, Restylane Lyft)

    Hyaluronic acid placed in the dorsal fat compartment. Softer feel than Radiesse, fully reversible with hyaluronidase, lasts 12 to 18 months on the hand.

  • IPL and Q-switched Nd:YAG for pigment

    IPL for diffuse sun damage across a course of three sessions. Q-switched Nd:YAG for discrete, darker lentigines. Cryotherapy for the stubborn spot that will not clear.

  • Profhilo Body, polynucleotides, Volite

    Injectable skinboosters. Profhilo Body uses ultra-pure hyaluronic acid to hydrate and biostimulate; polynucleotides repair the dermis; Volite is a soft-tissue booster for glow and bounce.

  • Medical-grade topicals and chemical peels

    Nightly retinoid, morning vitamin C, broad-spectrum SPF 50 every day. A superficial glycolic or TCA peel course adds surface renewal without downtime.

  • RF microneedling and non-ablative laser

    For crepiness and laxity that volume cannot fix. Three sessions across 12 weeks tightens the collagen scaffold with minimal downtime.

  • Autologous fat transfer

    A day-case surgical option for advanced dorsal atrophy. Fat is harvested from the abdomen or thigh, processed and grafted to the back of the hand. Longer downtime, longer results.

  • Package approach

    One volumising plus one pigmentation plus one skin-quality treatment is the sweet spot. Add SPF and a retinoid for life, and the result compounds.

Safety and expectations

What to expect, honestly.

Early to moderate hand ageing responds very well. Extreme atrophy needs repeated volumising sessions, and sometimes a surgical adjunct, to move the needle.

  • Bruising and swelling for 24 to 72 hours

    Cannula technique reduces both but does not eliminate them. Arnica, cold packs and avoiding NSAIDs and alcohol for 48 hours helps.

  • Nodules with Radiesse

    Uncommon with proper hyperdilution and cannula placement in the correct plane. Palpable nodules are massaged out or, rarely, dissolved with saline injection.

  • Vascular occlusion is rare but serious

    A recognised risk of any filler. Cannula on the dorsum sits above the vascular plane and the risk is low, but your injector must know the emergency protocol.

  • Post-inflammatory hyperpigmentation after IPL

    More likely in Fitzpatrick IV to VI skin. Test patches, conservative energy settings and strict SPF discipline for 4 weeks before and after every session.

  • Sun exposure derails everything

    A daily broad-spectrum SPF 50 on the backs of the hands is not optional. Without it, pigmentation returns within months.

  • Realistic expectations

    Early to moderate ageing responds well and looks natural. Extreme atrophy with paper-thin skin needs repeat volumising sessions, and sometimes surgery, to move the needle.

  • Reversibility

    HA fillers are reversible with hyaluronidase. Radiesse is not reversible; it is metabolised over 9 to 18 months and cannot be dissolved.

  • Retinoid and peel wash-out

    Stop retinoids 5 to 7 days before IPL, laser or peels. Restart once the skin has settled to keep the base quality improving between sessions.

  • When to call the clinic

    Blanching, severe pain, dusky skin or new numbness after injection needs the clinic contacted the same day. Bruising and swelling alone do not.

Reading your treatment notes

Your hand rejuvenation plan in four parts. Read the last one first.

Whichever combination is chosen, the treatment plan your injector writes keeps to the same shape.

  1. 01 Assessment

    Fitzpatrick type, atrophy grade and pigment map

    Skin phototype guides IPL settings. Dorsal atrophy is graded 1 to 4. A photographic pigment map anchors the before-and-after comparison.

  2. 02 Plan

    Order of treatments and interval

    Volumising first, then pigment, then skin quality is a common order. Intervals of 4 to 6 weeks let each step settle before the next.

  3. 03 Products

    Named product, batch and volume

    The exact filler, dilution, syringe volume and injection points per hand. Written into your notes so any subsequent practitioner knows what was used.

  4. 04 Homecare

    Retinoid, vitamin C, SPF and hand cream

    Read this first: the daily routine that protects your investment. Stopping the SPF is the fastest way to undo six months of clinic work.

Cadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicDr Sabrina Shah-DesaiCranley ClinicSkinesisCadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicDr Sabrina Shah-DesaiCranley ClinicSkinesisCadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicDr Sabrina Shah-DesaiCranley ClinicSkinesis

Cosmetic hand rejuvenation is self-pay and not covered by UK health insurance.

Frequently asked

Common questions about hand rejuvenation.

Quick answers on cost, Radiesse versus HA, IPL courses, downtime and extreme atrophy.

  • What is hand rejuvenation?

    Hand rejuvenation is a multi-modal cosmetic programme to reverse the visible signs of ageing on the back of the hand. It combines volumising (Radiesse hyperdilute or HA filler) to soften prominent veins, tendons and bones, pigmentation treatments (IPL, Q-switched Nd:YAG, cryotherapy, topical hydroquinone) for age spots, and skin-quality treatments (Profhilo Body, polynucleotides, Volite skinboosters, chemical peels, retinoids) for crepiness and tone.

  • How much does hand rejuvenation cost in London?

    A single vial of Radiesse hyperdilute across both hands is £850 to £1,400. IPL for pigmentation is £280 to £450 per session across a course of three. Profhilo Body 2 mL across both hands is £280 to £450. A comprehensive hand rejuvenation package that combines volumising, pigment and skin-quality treatments is £1,600 to £3,500.

  • Radiesse hyperdilute or HA filler for hands, which is better?

    Radiesse hyperdilute gives immediate volume plus 9 to 18 months of biostimulation as your own collagen builds, and generally lasts longer on the hand than HA. HA fillers such as Juvederm Voluma or Restylane Lyft feel softer, are fully reversible with hyaluronidase and are a good choice if you want the option to dissolve. Many patients start with Radiesse and refine with a small volume of HA.

  • How many IPL sessions do I need for age spots?

    A course of three sessions spaced 3 to 6 weeks apart is standard for solar lentigines on the hand. Stubborn individual spots are then finished with Q-switched Nd:YAG or cryotherapy. A daily broad-spectrum SPF 50 is essential before, during and after the course, otherwise pigmentation returns.

  • What is the downtime after hand rejuvenation?

    Volumising with a cannula gives mild swelling and pinpoint bruising for 24 to 72 hours. IPL leaves age spots temporarily darker for 7 to 10 days before they flake away. Profhilo Body leaves small blebs that settle within a few hours. Most patients return to work the next day.

  • Can anything be done for extreme dorsal atrophy?

    Yes, but honestly. Very thin skin with prominent veins, tendons and bones responds partially to repeated volumising sessions across 6 to 12 months, and often benefits from adding autologous fat transfer as a day-case surgical option. The result is a real improvement rather than a complete reversal. It is worth being clear about what filler alone can achieve before committing.

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