- Sun exposure over many yearscausing “age spots” (solar lentigines).
- Thinning skin with age, making veins and tendons more prominent.
- Dry skin that accentuates wrinkles and texture.
- Pigmentation changes from genetics, hormones, or previous inflammation.
- Certain medical conditions or medications that affect skin appearance.
If you upload the picture, I can give a more specific description of what the hands look like.
