The skin on the back of the hand is thinner, with less fat and fewer oil glands —
so the hands can look a decade or two older than the face. Prof. Dr. Robert Hierner
helps restore their volume, texture and contour, with the precision of a hand surgeon.
German double board-certified
Hand Surgery & Plastic Surgery
35+ years
Form & functionOne surgeon, two specialties — treating the hand as the complex structure it is.
35+
Years in practice
10,000+
Procedures performed
2
German board certifications Hand & Plastic Surgery
7
Textbook volumes edited Plastic & Hand Surgery
Why hands age faster
The first place time shows.
We protect our faces for decades — but rarely our hands. Yet the skin on the back of
the hand is naturally thinner, with less underlying fat and fewer oil glands. As that
cushion fades, the structures beneath become visible and the surface changes.
It's why hands can appear 10–20 years older than the face.
The good news: these are among the most treatable signs of ageing — when they're
assessed properly, by someone who understands the anatomy of the hand.
Volume loss
Thinning of the fat layer leaves the back of the hand hollow and deflated.
Visible veins & tendons
With less cover, veins, tendons and bone become more visible on the surface.
Age spots
Sun exposure over the years leaves uneven pigmentation and dark spots.
Thin, crêpey skin
Skin becomes drier and more fragile, with a fine, creased texture.
Illustrative editorial imagery (AI-generated) — not a specific patient or treatment outcome.
Hand rejuvenation · Options
How the hands are restored.
There's no single answer. The right approach depends on your hands, your skin and your
goals — and is decided together at consultation. These are the options Prof. Hierner offers.
Surgical · Day procedure
Autologous Fat Transfer
Your own fat, to rebuild volume.
Fat is gently harvested from your own body, purified, and placed beneath the skin on the
back of the hand to restore softness, cushion and contour — so veins and tendons are less
prominent. The stem cells naturally present in fat also help improve skin quality over time.
Typically 20–30 ml per hand; built conservatively, as about half the volume settles long-term.
Non-surgical
PRP — Platelet-Rich Plasma
Your own platelets, for skin quality.
A small sample of your blood is concentrated and injected to support healing and improve
skin quality — and it can help ease joint and tendon discomfort. A non-surgical option,
often chosen for earlier signs or alongside other treatments.
Typically a short course of 2–3 sessions, 4–6 weeks apart, with occasional maintenance.
Non-surgical
Regenerative Therapy
Support the tissue itself.
Image-guided regenerative injections that support the body's own repair of skin and
joints. Results build gradually over the following months. Part of the practice's
broader "hand longevity" approach — treating the hand early and conservatively.
Benefits develop over time; the plan is tailored to your hands at consultation.
Non-surgical
Laser Age-Spot Removal
Even the tone.
Targeted laser energy breaks down the pigment in sun and age spots, which the body then
clears, for a more even, brighter skin tone across the back of the hand. Sessions are short.
Brief sessions of around 20–30 minutes; the number needed varies by individual.
Every hand is different. Suitability, approach, recovery and what results you can expect are
determined only after an in-person assessment — never promised in advance.
Why a hand surgeon
Form and function, by one specialist.
The back of the hand is one of the body's most intricate areas — skin, fat, veins,
tendons, nerves and joints, layered in millimetres. Rejuvenating it beautifully means
understanding it surgically.
Prof. Dr. Robert Hierner is double board-certified in both Hand Surgery and
Plastic & Aesthetic Surgery — and editor of the standard textbooks in both
fields. The result is rejuvenation that respects the anatomy: natural, measured, and
never overfilled.
German double board-certified — Plastic, Aesthetic & Regenerative Surgery and Hand Surgery & Hand Medicine.
35+ years in practice across Germany, Belgium and the Gulf, with 10,000+ procedures.
Former Chair & Professor of Plastic Surgery — Catholic University of Leuven (Belgium) and University of Duisburg-Essen (Germany).
Ph.D. summa cum laude (LMU Munich) · University Diploma in Microsurgery (Lyon).
Editor of standard textbooks — Plastic Surgery (5 volumes) and Hand Surgery (2 volumes).
Member — German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC), German Society for Hand Surgery (DGH), World Society for Reconstructive Microsurgery (WSRM) & Emirates Medical Association.
Prof. Dr. med. Robert Hierner
M.Sc., M.D., Ph.D.
Hand rejuvenation treated with the precision of a hand surgeon and the eye of an
aesthetic surgeon — where function and beauty are inseparable.
Consulting across Atelier Clinic (Umm Suqeim), Fakeeh University Hospital, Medcare
Orthopaedics & Spine and partner clinics in Dubai.
A consultation first — always
An honest opinion, not a sales pitch.
The only way to know which option — if any — suits your hands is a proper assessment.
You'll be told clearly what is realistic, what is not, and what you can expect. No pressure,
no urgency. Consultations and replies in English & Arabic.