The ageing hand. A study to evaluate the chronological ageing process of the hand.

The rejuvenation of the hand has received increased attention recently. Although many different methods have been advocated, only little is known about the chronological ageing process of the Caucasian hand. A qualitative study was performed to evaluate ageing changes. One hundred and forty-three volunteers were enrolled. Standardised pictures of both hands were obtained and evaluated by one observer in regard to wrinkling pattern, visibility of subcutaneous structures and trophic changes. We found that both males and females showed a distinct progression of the wrinkling pattern. Dorsal veins and age spots increased with age whereas the wrinkle-wrinkle distance decreased. Contrary to common belief, significant joint thickening of the proximal interphalangeal (PIP) joint could not be confirmed. Hand ageing is a three-dimensional process that involves osseous and subcutaneous structures as well as the skin. Despite the increased interest in rejuvenation, a baseline study describing the chronological changes with ageing in the hand is still missing. Our findings will help to define the ageing process in Caucasians.