Often ignored our hands reveal changes associated with aging and sun damage. These may include age spots, prominent veins, and prominent tendons, lose of volume, and thinning of the skin to the point of transparency. While no treatment is perfect for reversing all changes, various techniques can be used to improve the appearance of the top of the hands, and these include topical creams and chemical peels to decrease the discolorations and weathered changes and fat grafting to plump the hand decreasing the transparent look and prominent tendons. This can result in a fuller, smoother, and more youthful look.