Fat grafting for hand rejuvenation is relatively new . Thin and arthritic hands can make you look older than you are. The fullness of the hand is lost with advancing age. Layered fat grafts laid on the back of the hand fill in the hollowed spaces to give it a youthful look and feel. Fat is injected through 6-8 entry points to give a uniform fatty layer to hide the tendons and joints only partially. With time, the skin quality and texture gets better.