The hands can easily give away a person's age. Sometimes it is made more obvious if there has been some surgical or non-surgical rejuvenation of the face.
Fat transfer or lipomodelling is a very effective and longer term solution to rejuvenating the back of the hands. For someones who wants a simpler procedure without involvng another area of the body for harvesting of the fat, synthetic fillers is an increasingly popular choice.
Fillers into the back of the hands is simple, effective, low risk and yields excellent immediate results that lasts 1 to 1.5 years. It is performed under local anaesthetic and takes about 30 to 40 mins for both hands. There is no downtime and you should be able to return to work immediately.
I prefer the Radiesse filler to provide volume to the back of the hands and the Smartxide CO2 laser to impove the texture and pigmentation of the skin.
The following is a video clip from the American Society of Dermatology Summer Meeting 2011. The speaker talks about the success of dermal fillers for hand rejuvenation.