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Faces are supposed to be roadmaps to the soul. But soothsayers and mystics look to the palms of our hands to map out our lives. Hands are symbolic, even in the business world where, however much business people might scorn the arcane connotations, a handshake is still a sign of good faith. From a cosmetic point of view, age spots, textural changes, wrinkles and loss of fat padding all contribute to make hands a giveaway to a youthful face.  Read on to hear about these and the most effective home treatments.

THE LATEST CLINICAL APPROACH ‘Hand lifting’ surgery doesn’t have much of a profile – not compared to lip or breast enhancement anyway. But it has picked up by 400% over the last four years, with more women asking for it usually following aesthetic work on their faces. Most in demand procedures include resurfacers that use chemical smoothers like tretinoin, lasers and mixed fillers or fat transfers – all treatments once reserved for the face, but now used to lift hands too.

At buy-in level, skin texture can be improved on with a light chemical peel or laser therapy. Where it has lost its plumpness and the backs of hands look grooved around veins and bones, injectable fillers and lipo fat injections may be prescribed. Both demand commitment.

Fillers need no less than three sessions over six weeks and involve up to 30 injections per hand! Lipo transplants are injected under numbed skin – often at the wrists and massaged by the surgeon into the hollows from there – using fat harvested from elsewhere on the body.

While not necessarily prematurely aged, hands which look crepey and blotchy have invariably got that way through sun exposure: most of us remember to put SPF on our faces and necks daily; but few put it on their hands. Once into the habit of applying sunscreen to the backs of your hands though this preventative step takes little effort and pays off in spades sooner than you think.

THE BEST HOME TREATMENTS: What always works best for overtaxed hands is some simple TLC like this: 1. Exfoliation – do this gently too, using a crunchy, natural scrub like Ameliorate’s Body Polish, paying special attention to rough areas. This particular multi-action exfoliator polishes, retexturises, refines and conditions skin with it’s Alpha Hydroxy Therapy.  2. Moisturiser – rub a thick, nourishing cream into the backs of your hands and wrists.