The aged hands are often the “dead give-away” to an older person’s advanced age. Attention is often preferentially given to rejuvenation of the aging face and neck. However, equal attention should always be given to rejuvenation of the aging hands so as to maintain harmony with other rejuvenated features and to “keep people guessing”. The aged hands are characterized by thinning of the skin and pigmentation irregularities. Thin skin leads to a greater visibility of the joints, tendons, and veins. There are relatively simple procedures that can restore a more youthful appearance of the hands. These include using fillers to plump up the skin of the back of the hands. An excellent choice is the filler Radiesse. When injected just under the skin, Radiesse can add enough volume to the back of the hand to make the tendons, joints, and veins less prominent. Usually one syringe is adequate for each hand. The results are natural and can last over one year. The pigment irregularities of the hand are often the result of years of sun exposure and damage by ultraviolet light. Sun spots and “liver spots” can be improved with various lasers that disrupt the irregular pigment in the skin. Intense Pulse Light (IPL) is one such laser option. Sun block and “bleaching creams” can keep the sun spots from returning. These simple treatment options can keep the hands looking youthful and age-harmonious with all other rejuvenated features.