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Concerns / Aging Hands

Hand Rejuvenation for Aging Hands in Portland, OR

We treat volume loss, sun spots and crepey skin on the backs of the hands as three separate concerns, each with its own treatment, in one plan.

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A patient's two hands side by side: the untreated left hand shows fine crepey lines, the right hand treated with Diamond Glow looks smoother
Diamond Glow with TNS Advanced+ Serum
Our Results

Real Results on Real Hands

One patient, two hands. Only the hand on the right was treated, so the difference is easy to see: its skin looks smoother, with softer fine lines across the knuckles and the back of the hand.

Treatment
Diamond Glow exfoliation, extraction and infusion
Serum
TNS Advanced+ Serum for fine lines and wrinkles
Best for
Dull, finely lined skin, often alongside other treatments
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The Condition

Why Hands Show Age Early

The backs of the hands have thin skin and very little fat to begin with. They also get years of sun and rarely get sunscreen, so they can look older than the face.

Have a Spot Checked First

A spot that grows, bleeds, itches or looks different from the others needs a medical check before any cosmetic treatment. We tell you if we see one.

  1. Volume Loss

    Collagen and fat decrease with age, so veins and tendons become more visible and knuckles look bonier.

  2. Sun Spots

    Years of sun exposure leave brown spots and uneven tone across the back of the hand.

  3. Crepey Texture

    Loss of elasticity leaves thin, finely wrinkled skin that creases when you make a fist.

Our Approach

One Treatment for Each Sign

Aging hands rarely show only one sign, so we treat by concern and combine what your hands need.

  • Concern 01

    Volume

    Visible veins and tendons, hollows between the bones.

    Fillers and biostimulators
  • Concern 02

    Spots

    Sun spots, freckling and uneven pigment.

    Aerolase laser
  • Concern 03

    Crepey Texture

    Thin, finely wrinkled skin that has lost its spring.

    NeoGen plasma resurfacing

To Refine the Result

Medical-grade chemical peels, SkinPen microneedling and Diamond Glow further improve tone and texture between or after your main treatments.

A gloved provider injects filler into the back of a woman's hand on a white towel
Volume

Restoring Volume With Fillers and Biostimulators

Dermal filler placed in the back of the hand adds a soft layer over veins and tendons, so they show less.

Collagen-stimulating biostimulators work differently: they prompt your own skin to rebuild support over the following weeks, for a gradual, longer-lasting result.

  • Softens the look of veins and tendons
  • Planned to look refreshed, not overdone
  • Pairs with laser and plasma in the same plan
Spots and Texture

Aerolase and NeoGen in Our Treatment Room

Two devices treat the surface of the skin, both run by our own team in Portland.

Aerolase Laser

Targets sun spots and uneven pigment on the backs of the hands for a clearer, more even tone.

NeoGen Plasma

Uses nitrogen plasma energy to stimulate collagen and renew thin, crepey skin from beneath the surface. Results continue to develop over the following weeks.

"Recently I received a Neogen Plasma Resurfacing treatment at Ortho-Rejuv, and even though it's only my second week, I am really impressed with the results so far."

Robyn W., Google review
What to Expect

Your Hand Rejuvenation Plan, Step by Step

Most plans run over a few visits, in an order that lets each treatment build on the last.

  1. Consultation

    We look at volume, pigment and texture on both hands and talk through your goals.

    Free consultation
  2. Your Plan

    We recommend which treatments to combine, in what order, and quote the price.

    Before any treatment
  3. Treatment Sessions

    Sessions take place in our Portland office. A microneedling session, for example, takes about 30 to 60 minutes.

    Often a few visits
  4. Maintenance

    Daily sunscreen on your hands and occasional maintenance sessions keep the result.

    Ongoing
Our Practice

Founded by Dr. Natalie Mesnier, MD

Hand rejuvenation is provided by our team of certified advanced estheticians and medical staff, who work with every skin type and tone.

Dr. Natalie Mesnier, MD, founder of Ortho-Rejuv Wellness and Aesthetics

Dr. Natalie Mesnier

MD, Founder

Dr. Mesnier founded our medical spa and brings a background in aesthetic medicine, laser therapies, injectables and fillers.

Investment

Cost and Financing

The cost of hand rejuvenation depends on the treatments in your plan and how many sessions you need. We quote your price at the consultation, so you know it before you begin.

Pay Over Time With Cherry

Many patients spread the cost of a treatment series with monthly payments through our financing partner, Cherry.

See Our Current Menu

Prices for each treatment on our menu are listed on our medspa pricing page.

FAQ

Hand Rejuvenation Questions

What is the best treatment for hand rejuvenation?

There is no single best treatment, because most aging hands show more than one sign. Fillers or biostimulators restore volume, the Aerolase laser targets sun spots, and NeoGen plasma, microneedling and peels improve crepey texture. We often combine them.

How much does hand rejuvenation cost in Portland, OR?

It depends on the treatments in your plan and the number of sessions. We quote your price at a free consultation, our current menu is on the medspa pricing page, and monthly payments are available through Cherry.

What causes veins and tendons to show on my hands?

The backs of the hands have thin skin and little fat. As collagen and volume decrease with age, veins and tendons become easier to see. Filler in the back of the hand softens their look.

Can crepey skin on the hands improve?

Yes. NeoGen plasma, SkinPen microneedling and medical-grade chemical peels all stimulate collagen, which helps thin, crepey skin look smoother over time.

How many sessions will I need?

It depends on how many signs you are treating and which treatments your plan uses. We map out the number and order of sessions at your consultation.

How do I protect my results?

Wear sunscreen on the backs of your hands every day, since sun exposure causes new spots. Maintenance sessions help keep volume and texture where you want them.

Portland, OR

Book Your Free Hand Consultation

Show us your hands, and leave with a plan for volume, spots and texture.

5050 NE Hoyt St #626, Portland, OR 97213 · Providence Plaza, across the street from Providence Hospital

Venus Nova, Certified Advanced Esthetician at Ortho-Rejuv

Venus is a Certified Advanced Esthetician, Certified Phlebotomy Technician, and pre-nursing student with a passion for medical aesthetics and patient-centered care. She is dedicated to helping clients achieve healthy, radiant skin through result-driven, customized treatments tailored to their unique needs. As a patient advocate at heart, Venus loves working with all skin types and creating long-term skincare plans that focus on both visible results and overall skin health.

Her favorite treatments include Aerolase, NeoGen, and microneedling, innovative treatment options that deliver real, transformative outcomes. Outside of the treatment room, Venus enjoys creating social media content, exploring new food spots, and spending time with friends and family

Woman with long brown hair wearing black healthcare uniform against gray background

Certified Advanced Esthetician

Woman with long dark hair smiling at camera against white background
Katherine is a Certified Advanced Esthetician dedicated to helping every client feel confident and comfortable in their skin. She takes a personalized approach to skincare, creating customized treatment plans and at-home routines that work for you. Katherine is passionate about finding effective, thoughtful skincare solutions for all skin types and tones, with a special emphasis on acne-prone skin. She aims to provide a safe space in the treatment room to ensure every client feels welcomed and supported no matter where they are in their journey. She looks forward to meeting you soon!
Nancy, woman with long brown wavy hair wearing black top, smiling at camera
Dr. Nancy Yen Shipley experienced in the use of ultrasound and orthobiologics in the treatment of musculoskeletal conditions. And is additionally certified in Laser treatment of medical conditions, post-surgical and post-traumatic scars, PRP, injectable neuromodulators for medical and aesthetic applications.
Kyline, woman wearing white coat and gold chain necklace, smiling at camera
Ms. Kylie Farwell is a board-certified Physician Assistant and a native Idahoan. Trained in orthobiologics, PRP, ultrasound-guided interventions, laser therapy, and neuromodulators such as botox, and fillers, Kylie is passionate about helping patients overcome their post-surgical and post-traumatic scars, and present their best selves forward to the world.
Natalie, woman with shoulder-length dark hair wearing black top and pearl necklace

Dr. Natalie Mesnier, the driving force behind Ortho-Rejuv Wellness and Aesthetics, stands at the forefront of aesthetic innovation. With a rich background in the aesthetic realm, she is notably skilled in anti-aging laser therapies, skin revitalization, and the meticulous use of injectables and fillers. Alongside her certifications in advanced aesthetic procedures, including PRP and neuromodulator applications, Dr. Mesnier’s mission is singular: to empower patients to experience and radiate their utmost beauty and confidence.