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San Francisco Hand Rejuvenation

Don’t let your hands give away your age! So many of us are focused on our face and our chest that we forget about our hands. The skin on our hands is not only delicate, but it’s often exposed to the elements. Sun, wind and cold can really wreak havoc on the look and appearance of your hands. Furthermore, just like on the face, we lose volume in our hands over time. This results is prominent, ropey looking veins and tendons that can make you look and feel years older than you are. Thankfully, there are a number of cosmetic procedures on the market today that can help address the early signs of aging and rejuvenate hands.*

Dr. David Sieber has extensive training in all of the latest surgical and non-surgical modalities for hand rejuvenation. For sun spots, brown patches and overall dullness, he typically recommends the BBL to rejuvenate the skin on the back of the hands.* For lost volume, there are two options. Fillers do a wonderful job of plumping which helps to eliminate the ropey look of those veins, but the results are temporary.* For a longer-lasting solution, Dr. Sieber can perform fat grafting in which he removes a bit of fat from a part of your body that may have too much, such as the abdomen, and injects it into your hands. All of these options will be discussed with you in detail during your initial consultation.

Hand rejuvenation surgery can improve:*

  • Appearance of visible veins and tendons
  • Lost volume in backs of hands
  • Sun spots and brown spots

Quick Facts

  • Length: 20-60 minutes
  • Anesthesia: Topical, sedation, or general depending on the treatment
  • Inpt/Outpt: In office or outpatient
  • Side effects: swelling, bruising, redness
  • Recovery: 1-3 days (depending on treatment)

Hand Rejuvenation Technique

Eliminating the excess pigment, sun spots and dullness on the hands may require 3-4 treatments with the BBL laser. The treatment is fast with little to no downtime, but you need to be vigilant afterwards about wearing a UV sunscreen.* During the same appointment, Dr. Sieber can use fillers to plump up the backs of your hands for a fuller look.* Again, treatment with fillers is an in office, simple procedure. However, fat grafting to your hands is a bit more invasive as it requires liposuction from another area to harvest the fat cells. This body enhancement procedure is typically done in an operating room as a same day surgery. Commonly, hand rejuvenation using fat grafting is performed in conjunction with facial rejuvenation surgery such as a facelift.

Preparing for Hand Rejuvenation

As with any major surgery at Sieber Plastic Surgery in San Francisco, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Hand Rejuvenation

After your BBL treatment, your skin may appear red for the first 24 hours. Immediately after treatment, any pigment will be darker and will gradually fall off within 30 days of treatment.* You need to wait at least 30 days between your BBL treatments.

Recovery from fillers is minimal. You may experience some bruising and swelling, but this will resolve within 24-72 hours.* If your hands were injected with fat, there will be moderate swelling for up to 1 week after treatment.


Q: I hate the appearance of the veins on the back of my hands. What can be done for these?

A: Using filler or fat grafting on the back of your hands can conceal the appearance of visible veins and tendons.*

Q: How many treatments will it take to remove the pigment from my hands?

A: Most patients find that they have a significant reduction in their sun spots after 1-3 treatments.* The quality of your skin can be maintained by having maintenance BBL laser treatments every 3-6 months.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

450 Sutter St #1432, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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