Atlanta (Buckhead)
3833 Roswell Rd NE, Tuxedo Atrium, Suite 108Atlanta, GA 30342
Floor 1 of the Tuxedo Atrium
Monday to Friday 8:30 AM to 5 PM; Saturday 8:30 AM to 2:30 PM
Skin quality
Hand Rejuvenation in Buckhead and Cumming
Hand rejuvenation restores lost volume and improves sun-damaged skin on the back of the hands. Filler replaces fullness so veins and tendons look less prominent, and peels and laser are used for sun spots and rough texture. Filler results are temporary, measured in months. Any new or changing spot should be checked by a dermatologist first.
- 608 Google reviews, rated 4.9 and 5.0
- Board-certified physician who treats every patient herself
Treated by Dr. PaymanBuckhead and Cumming
What it treats
Why do hands look older, and what can be treated?
Hands age in three ways: they lose volume under the skin, they collect sun damage such as spots and rough patches, and the skin thins into a crepe-like texture. As fullness drops, veins and tendons show more. Filler addresses volume, while peels and laser address spots and texture, so each concern needs its own tool.
A review in the Journal of Drugs in Dermatology says the skin loses subcutaneous fat and muscle with age, the back of the hand has a thin dermis that thins further, and ultraviolet exposure adds photodamage. The AAD adds that skin loses collagen and elastin, and that veins become more noticeable with less fullness.
The same review says that other than fat injections, device-based treatments, light-based therapies and peels "do not address volume loss and focus on textural changes and dyschromia." Published reports combine dermal fillers with chemical peels or laser resurfacing; ask the office whether either would be part of a plan for your hands.
What it treats
What can treat sun spots and rough skin on the hands?
Chemical peels and laser resurfacing can lighten sun spots and improve rough, uneven texture, and the AAD lists laser, peels, freezing, microdermabrasion and lightening creams for age spots. Because some spots that look like age spots are skin cancer, have any new, changing or rough spot checked by a dermatologist first. Derm Clinic MD does not offer skin checks.
The AAD says laser and peels tend to work faster than creams but cost more and carry a higher risk of side effects, lasers can cause crusting or temporary darkening, and age spots can return without sun protection.
Rough, scaly patches may be actinic keratoses, which the AAD calls precancerous growths that sometimes turn into skin cancer. It warns that fading a skin cancer with a spot treatment can give it time to grow and spread. Skin and mole checks are medical dermatology, which this office does not offer, so see a dermatologist before any spot is treated.
Results
How long do results last, and what is realistic?
Filler results are temporary. In the Radiesse instructions for use, 73% of treated people still showed improvement 6 months after the first treatment, and the hyaluronic acid filler's brochure says benefits usually last 6 months. Neither fixes the cause of volume loss, and sun spots can return, so daily sunscreen on the hands matters.
The evidence in detail
A 2023 review in Dermatologic Surgery of peels, laser and light, sclerotherapy, fat and fillers found mostly good results, lower satisfaction after laser and light treatments, and no significant increase in adverse effects after same-day procedures. The Radiesse guide is more cautious: swelling may occur if a laser or peel follows filler, or if filler is given before skin has healed from one.
Is it right for you?
Who should wait or skip hand filler?
Wait or skip if you are pregnant or breastfeeding, have an infection or inflamed skin on or near the hand, or have a bleeding disorder, severe allergies or certain hand conditions. The Radiesse patient guide lists these and more. Tell the office about every medicine, past hand procedure and hand condition before treatment.
The hyaluronic acid brochure also lists previous hand surgery or trauma, Raynaud's disease, immune-suppressing therapy and blood thinners. A hand disease, injury or disability is a reason to ask first.
Tell Dr. Payman first if any of these apply
- Severe allergies, a bleeding disorder or ingredient sensitivity (lidocaine, for the hyaluronic acid filler): reasons not to use it
- Active inflammation or infection on or near the hand: wait until it is controlled
- Autoimmune hand disease, hand implants, Dupuytren's contracture, hand tumor history, Raynaud's disease or tendon rupture risk: not studied
- Pregnancy or breastfeeding: safety has not been established
- Age: Radiesse was not studied in hands under 26 or over 85, and the hyaluronic acid filler was not studied under 22
- Recent laser, peel, UV treatment or epilation on the hands, herpes history, or scarring or pigment problems: tell the office
608
Google reviews across both officesWho treats you
Arshia Payman, MD
Board-certified physician with 13+ years in aesthetic medicine. Dr. Payman is the only provider at Derm Clinic MD, and she personally treats every patient. Every plan starts with a consultation, so it is made around your face and your goals.
- Medical schoolGeorge Washington University, Washington, D.C., where she also earned her undergraduate degree summa cum laude and was accepted to the early selection medical program in her sophomore year
- Hospital trainingFour hospitals in the Washington, D.C. area, including the National Institutes of Health and George Washington University Hospital
- ResidencyCompleted in 2008 at George Washington University
- Academic medicineOutpatient internal medicine at Emory University in Atlanta, as an instructor in clinical medicine who taught medical students
Georgia medical license 61513 (NPI registry).
Read Dr. Payman's full bioYour visit
What happens at a hand rejuvenation visit?
Every treatment starts with an in-person consultation. Dr. Payman examines your hands, reviews your health history and medicines, and plans the treatment with you. Treatment follows, with written aftercare instructions and sometimes a touch-up visit.
- ConsultationYour hands are examined and photographed, and your history, medicines and past hand procedures are reviewed.
- Spot checkAny new, changing or rough spot should be seen by a dermatologist before it is treated.
- PlanThe treatment, its order and its spacing are set in advance.
- Consent and preparationYou review the risks, and the guide advises removing rings before injection.
- AftercareYou receive written instructions; the Radiesse guide advises limiting strenuous activity and sun or heat for 24 hours, and a touch-up may follow in 2 weeks to a month.
Cost
How much does hand rejuvenation cost?
Cost depends on how much volume your hands need, which filler is used, and whether a touch-up is needed. Derm Clinic MD quotes your cost at the consultation, after the plan is made. Because filler is temporary, ask what a year of upkeep would cost.
See pricing for how the office prices treatment and membership for member savings on other services. The Radiesse guide notes that higher amounts of filler raise the chance of side effects. Ready to talk it through? Book a consultation at either office.
Your exact cost
Your total depends on your plan: the areas, the product and how many visits you need. Dr. Payman gives you the full cost at your consultation, before anything is done.
Gold members get 10% off other services and skincare. About the membership.
Compare
How does filler restore volume in the hands?
Filler is injected under the skin on the back of the hand to replace lost fullness, so veins and tendons look less prominent. The FDA approved Radiesse, a calcium hydroxylapatite filler, for this use in 2015 and a hyaluronic acid filler in 2018. The consultation covers which product suits your hands.
In the Radiesse hand instructions for use, 64 of 85 treated people (75.3%) improved by at least one point on a 5-point scale at 3 months, against 1 of 29 (3.4%) in the untreated group. One study site scored much higher than the rest; without it, 65.5% improved. Across all 113 treated people, 73% still showed improvement at 6 months, and 68% (15 of 22 people followed that long) at 12 months. For the hyaluronic acid filler, its instructions for use report 85.9% responders at 12 weeks in a split-hand study, versus 21.2% for untreated hands, and its patient brochure says benefits usually last 6 months. These are different studies, so do not compare the numbers head to head.
Filler does not fix the cause: the Radiesse patient guide says it temporarily provides fullness and will not correct the underlying causes. The FDA notes that risks of unapproved uses are not known, so ask whether the product planned for your hands carries a hand approval. Derm Clinic MD offers Radiesse; see also what is Sculptra.
Safety
What are the risks and side effects?
Swelling, pain, redness and bruising are expected after hand filler, and some people have temporary trouble using their hands. In the current Radiesse patient guide, 99 of 100 people reported swelling and 46 of 100 temporary difficulty performing activities (the label's warnings say 48). The rare serious risk is filler entering a blood vessel, so get immediate medical attention for vision changes, unusual pain or white-looking skin.
Full safety details
The same guide lists pain (92%), redness (84%), bruising (74%), itching (46%), loss of sensation (15%), lumps (12% counting physician reports) and hematoma (under 1%). Lumps may last up to a year, and infection is a risk; the guide says surgery to remove the filler may be needed if antibiotics do not clear it. The instructions for use add that 21% had an event rated severe and 29% had swelling beyond 14 days, though all events resolved without lasting effects, and warn that injection into a tendon may weaken it and injection into a vein may cause a clot. The FDA calls injection into a blood vessel the most concerning filler risk, with complications that include tissue death, blindness and stroke.
For the hyaluronic acid filler, patient diaries showed swelling (75%), redness (71%), bruising (60%), pain (45%) and impaired hand function (7%), and 9% still had swelling after a week. In its instructions for use, 24.7% of people lost at least 10 degrees of thumb bending that lasted through the 6-month study, though 10 of those 22 also lost it in the untreated hand. The label warns that hand side effects can last more than 96 days, and that a cannula (a blunt-tipped tube) was linked to more side effects than a needle in a small group.
Patient reviews
In patients’ words
“Once I met with Dr Arshia Paymen I never felt rushed, she took the time to listen to all my concerns and explained it all in a way that was easy to understand.”
“Dr. Payman was very friendly and explained everything thoroughly.”
“She takes time to truly listen to you and explains her treatment plan with great clarity.”
Excerpts are quoted word for word from public Google reviews of Derm Clinic MD. Individual results vary.
Questions
Questions patients ask about hand rejuvenation
Short answers here. Your own plan, product and cost are set with Dr. Payman at your consultation.
Ask at a consultationDoes hand filler hurt?
Expect some discomfort during and after. The Radiesse patient guide says you and your doctor may decide to numb the area with a topical or injected anesthetic. Afterward, 92% reported pain in the study behind that guide, and 45% in the patient diaries of the hyaluronic acid filler study in the Restylane Lyft with Lidocaine patient brochure. Ask about comfort options at your consultation.
How soon can I use my hands normally?
Often within days, though not for everyone. In the Radiesse study 46% to 48% reported temporary difficulty performing activities and 6% still did after 14 days. The guide advises removing rings before treatment, keeping them off until swelling settles, and limiting strenuous activity and heat for 24 hours.
Is there an age limit for hand filler?
The FDA approves dermal fillers for adults 22 and older. The Radiesse guide adds that its safety in hands has not been studied under 26 or over 85, and the hyaluronic acid brochure says under 22. The consultation weighs age with your health history.
Will hand filler show up on X-rays or scans?
Calcium hydroxylapatite can. The Radiesse guide says it is visible on CT scans and may be visible on plain X-rays, that it is unknown whether it could interfere with diagnosing a hand injury, and that you should tell your doctor and radiologist. A 2025 case report found filler mimicked disease on hand X-rays until the history was known.
What about the veins in my hands?
Filler can reduce how prominent veins look when volume loss is the cause. The AAD says some veins are too big to hide with filler, and that a dermatologist can treat a large vein with laser or sclerotherapy. Vein treatment is a separate procedure.
Can I have hand filler if I have darker skin?
It can be done with extra care. The Radiesse instructions for use say difficulty performing activities was more common in Fitzpatrick skin types IV to VI (68% reported it). The hyaluronic acid brochure notes that in its facial trials some African-American patients had skin darkening that resolved after 6 weeks. Mention any scarring or pigment history.
Two offices
Two offices. One physician.
Atlanta, GA 30342
Floor 1 of the Tuxedo Atrium
Cumming
425 Peachtree Parkway, Suite 345Cumming, GA 30041
In The Shoppes at Brannon Crossing
Monday to Friday 8:30 AM to 5 PM; Saturday 8:30 AM to 2:30 PM
Maps © OpenStreetMap contributors.
Keep exploring
Related treatments and guides
Your first step
Ready to talk about hand rejuvenation?
Book a consultation in Buckhead or Cumming and leave with a plan that fits your face, your goals and your budget.
Sources (13)
- Radiesse Injectable Implant for the dorsum of the hand: Instructions for Use. Merz North America, labeling dated April 2023 (IN00237-01). https://radiesse.com/wp-content/uploads/2025/12/instructions-for-use-radiesse-volume.pdf
- Radiesse dermal filler to add fullness to the back of the hands: Patient Information Guide. Merz North America, labeling dated October 2023 (IN00238-02). https://radiesse.com/wp-content/uploads/2025/12/radiesse-hands-patient-guide.pdf
- Restylane Lyft with Lidocaine: Instructions for Use. Galderma, revised June 2026. https://www.restylaneusa.com/docs/Restylane-Lyft-IFU
- Restylane Lyft with Lidocaine: Patient Brochure. Galderma, revised November 2025. https://www.restylaneusa.com/docs/Restylane-Lyft-PSI
- PMA database record P050052/S049: Radiesse, hand augmentation indication. U.S. Food and Drug Administration, decision date 06/04/2015. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P050052S049
- PMA database record P040024/S099: Restylane Lyft with Lidocaine, dorsal hand indication. U.S. Food and Drug Administration, decision date 05/18/2018. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P040024S099
- Radiesse Injectable Implant: Summary of Safety and Effectiveness Data, P050052/S162. U.S. Food and Drug Administration, approved March 31, 2026. https://www.accessdata.fda.gov/cdrh_docs/pdf5/P050052S162B.pdf
- Dermal fillers (soft tissue fillers). U.S. Food and Drug Administration, current as of 07/06/2023. https://www.fda.gov/medical-devices/aesthetic-cosmetic-devices/dermal-fillers-soft-tissue-fillers
- What can make my hands look younger?. American Academy of Dermatology, updated 7/17/23. https://www.aad.org/public/cosmetic/younger-looking/what-makes-hands-look-younger
- What can get rid of age spots?. American Academy of Dermatology, updated 9/28/21. https://www.aad.org/public/cosmetic/age-spots-marks/get-rid-spots
- Challenges, considerations, and strategies in hand rejuvenation (Fathi and Cohen). Journal of Drugs in Dermatology, 2016. https://jddonline.com/articles/dermatology/S1545961616P0809X/1
- Combination approaches to hand rejuvenation: a review of the literature and discussion (Chandan et al.). Dermatologic Surgery, 2023. https://pubmed.ncbi.nlm.nih.gov/36728067/
- Radiographic manifestation of cosmetic hand rejuvenation with calcium hydroxyapatite (Barre et al.). Journal of Hand Surgery Global Online, 2025. https://pubmed.ncbi.nlm.nih.gov/41542022/
This page is general education and is not medical advice. It does not replace an in-person consultation. Whether a treatment suits you, and what result is realistic, depends on your health history and an examination. Results vary from person to person.
Derm Clinic MD · Last updated October 2026.