The backs of hands tend to show one's age. As in other parts of the body, as we age we lose fat and atrophy volume in certain areas. Restoring that volume tends to improve the appearance of the area in question. At the back of the hand from the wrist to the knuckles, you can restore the volume using your own fat. This process not only hides the veins and tendons in the area but also tends to improve the structure of your skin. The procedure is outpatient and done under local anesthesia. There is no need for sedation unless the patient wants it. The recovery is immediate and tends to affect the area where the fat was removed from. I like to combine the restoration of volume with skin treatments to remove stains and improve the quality of the skin in the area.