Hand Rejuvenation

Conveniently located to serve the areas of Westlake, OH

Hand rejuvenation is a transformative procedure designed to enhance the appearance of the hands by addressing various concerns associated with aging and sun damage. Our hands are constantly exposed to environmental elements, making them susceptible to premature aging and the development of unsightly blemishes. Dr. David Naar, a highly skilled vascular surgeon at Premier Vein Clinic in Westlake, Ohio, specializes in hand rejuvenation techniques that can help you achieve youthful and vibrant-looking hands.

With his expertise and attention to detail, Dr. Naar offers a range of procedures and techniques such as sclerotherapy and dermal fillers tailored to address your specific concerns and achieve natural-looking results.

If you are bothered by the appearance of your hands and desire a more youthful and rejuvenated look, we invite you to contact Premier Vein Clinic at (440) 641-0433 to schedule an appointment with Dr. Naar. Alternatively, you can complete a simple inquiry form on our website for more details. Discover the transformative results of hand rejuvenation and regain confidence in the appearance of your hands.

Discover effective treatments for varicose veins and more by reading the Premier Vein Clinic blog.

How the Aging Process Affects Our Hands

As we age, it is not just our faces that show the signs of time. Our hands, with their constant exposure to environmental factors and repetitive movements, can also betray the effects of aging. (1) If you find yourself noticing signs of aging in your hands, rest assured that there are effective solutions available to restore the youthful beauty of your most expressive features.

Hand Aging Facts

  • Prominent veins on the hands can be a telltale sign of aging.
  • Over time, the collagen and elastin fibers in our hands break down, leading to the formation of fine lines and wrinkles.
  • Excessive sun exposure can cause the development of age spots, also known as liver spots or sunspots, on the hands. 
  • Thinning skin and loss of elasticity are common signs of aging hands.
  • Dryness and crepey texture can contribute to an aged appearance of the hands.

Hand rejuvenation can help improve the appearance of your hands, making them look younger, smoother, and more vibrant. Whether you desire to reduce wrinkles, fade age spots, tighten loose skin, or address any other concerns, Dr. Naar can guide you through the process and help you achieve beautiful and natural-looking results.

The Merz Scale

The Merz Hand Grading Scale (MHGS) is a 5-point scale that grades skin in the dorsum (back) of the hand. (2)

  • 0 – No loss of fatty tissue.
  • 1 – Mild loss of fatty tissue. Slight visibility of veins.
  • 2 – Moderate loss of fatty tissue. Mild visibility of veins and tendons.
  • 3 – Severe loss of fatty tissue. Moderate visibility of veins and tendons.
  • 4 –  Very severe loss of fatty tissue. Marked visibility of veins and tendons.

Hand Rejuvenation with Sclerotherapy 

One of the most effective treatments for hand rejuvenation is sclerotherapy. This minimally invasive procedure involves injecting a special solution into the veins on the back of the hands, causing them to collapse and fade away. Sclerotherapy not only reduces the appearance of bulging veins but also improves overall skin texture and tone, giving your hands a smoother and more even complexion.

What is Sclerosing Fluid?

The composition of sclerosing fluid consists of specific chemical compounds that are selected to induce the desired effects within the veins. These compounds are chosen based on their ability to irritate the inner lining of the veins, leading to a controlled inflammation response. (3) This inflammation triggers the natural healing process of the body, resulting in the closure and eventual disappearance of the treated veins.

Hand Rejuvenation with Sculptra

Sculptra is a unique injectable treatment by Galderma that stimulates collagen production, helping to restore lost volume and smooth out wrinkles. Unlike traditional dermal fillers, Sculptra works gradually over time, allowing for a subtle and natural rejuvenation of the hands. It’s important to note that hand rejuvenation with Sculptra is a non-surgical procedure, making it a convenient option for those seeking natural-looking results without the need for invasive surgery. Dr. Naar will explain the entire process, including the number of treatment sessions required, the expected downtime, and the longevity of the results.

What is Sculptra Made Of?

Sculptra is not your typical dermal filler. It is a unique collagen stimulator that goes beyond simply filling lines and wrinkles. Made of poly-L-lactic acid, Sculptra works by stimulating the body’s natural collagen production, resulting in long-lasting, natural-looking results.

Other Hand Rejuvenation Treatment Options


Restylane is a hyaluronic acid-based dermal filler by Galderma that has been widely used for facial rejuvenation. Its unique properties make it an ideal choice for hand rejuvenation as well. Hyaluronic acid is a natural substance found in the body that helps maintain hydration and volume in the skin. By injecting Restylane into the back of the hands, treatment can replenish lost volume, smooth out wrinkles, and improve the overall texture of the skin.


Fortunately, with advances in dermatological science, we now have effective solutions to address hand aging concerns with cosmeceutical products. Alastin is a revolutionary skincare line that has gained significant recognition for its ability to rejuvenate and restore the appearance of aging skin. Its innovative formulation contains patented TriHex Technology®, which helps to stimulate the production of new collagen and elastin fibers, improving the overall texture and quality of the skin.

Benefits of Hand Rejuvenation

  • Improved Skin Texture
  • Reduction of Wrinkles and Fine Lines
  • Enhanced Skin Elasticity
  • Restoration of Youthful Appearance
  • Smoother and Softer Hands
  • Increased Collagen Production
  • Minimized Age Spots and Sun Damage
  • Improved Hydration and Moisture Retention
  • Even Skin Tone and Complexion
  • Boosted Self-Confidence

Personal Consultation with Dr. Naar

When it comes to hand rejuvenation, a personal consultation at Premier Vein Clinic is the first step towards achieving youthful and vibrant hands. Dr. David Naar, our esteemed vascular surgeon, understands the importance of assessing your unique needs and discussing your cosmetic concerns in detail.

During your consultation, Dr. Naar will carefully review your medical history and examine the condition of your hands, including the texture of your skin, the presence of wrinkles or volume loss, and any visible veins or age spots. This comprehensive evaluation enables him to determine the most suitable treatment approach for you.

Preparing for Hand Rejuvenation

  • Medical History and Medications: Provide Dr. Naar with a comprehensive list of all medications, supplements, and vitamins you are currently taking. Some medications may need to be adjusted or temporarily discontinued prior to the procedure to minimize any potential risks or complications.
  • Blood Thinners: If you are on blood thinners or other anticoagulant medications, it is crucial to follow Dr. Naar’s instructions regarding their discontinuation before the treatment. This will help reduce the risk of excessive bleeding or bruising during and after the injections.
  • Nicotine Use: It is strongly recommended to refrain from smoking or using nicotine products in the weeks leading up to your hand rejuvenation treatment. Nicotine can impair blood flow and delay the healing process, compromising the overall outcome of the procedure.

How Much is Hand Rejuvenation in Westlake?

The cost associated with hand rejuvenation will vary depending on several factors specific to each patient. At Premier Vein Clinic, we understand that every individual has unique needs and goals when it comes to aesthetic concerns. During your personal consultation with Dr. Naar, he will carefully assess your hands and discuss your desired outcomes in order to create a customized treatment plan tailored to you.

Our experienced team at Premier Vein Clinic is dedicated to providing exceptional care and delivering natural-looking results. If you are considering hand rejuvenation with Sclerotherapy, Sculptra, or a combination of treatments, we encourage you to contact us at (440) 641-0433 to schedule your personal consultation with Dr. Naar at our Westlake, Ohio location. Together, we can help you achieve youthful and beautiful hands that match your vibrant spirit.


What are some hand care routines for maintaining youthful hands?

To maintain youthful hands, it is important to protect them from sun exposure by applying sunscreen regularly. Moisturizing the hands daily can help keep the skin hydrated and prevent dryness. Avoiding harsh chemicals and wearing gloves when performing household chores can also help protect the hands. Additionally, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can contribute to overall skin health and youthfulness.

How do dermal fillers help with hand rejuvenation?

Dermal fillers are commonly used in hand rejuvenation procedures to restore volume to the hands, minimize the visibility of veins and tendons, and reduce the appearance of wrinkles and fine lines. The fillers are injected into specific areas of the hands to achieve a smoother and more youthful appearance.

What are some non-surgical treatments for hands?

There are several non-surgical options available for hand rejuvenation. These include vein sclerotherapy, Sculptra injections, other dermal fillers, and topical products.


  1. Har-Shai L, Ofek SE, Lagziel T, et al. Revitalizing Hands: A Comprehensive Review of Anatomy and Treatment Options for Hand Rejuvenation. Cureus. Published online February 28, 2023. doi:https://doi.org/10.7759/cureus.35573 
  2. December 2015 – Volume 41 – Issue : Dermatologic Surgery. journals.lww.com. Accessed August 16, 2023. https://journals.lww.com/dermatologicsurgery/fulltext/2015/12001/a_randomized 
  3. Albanese G, Kondo K. Pharmacology of Sclerotherapy. Seminars in Interventional Radiology. 2010;27(04):391-399. doi:https://doi.org/10.1055/s-0030-1267848