Try a Laser Treatment
Intense Pulsed Light (IPL) isn't a laser per se — it heats up skin just like laser does but with a crystal filter rather than a glass one. If your hands are truly bothering you, Dr. Greenfield recommends the procedure for reversing the signs of wrinkled or sun-damaged hands, since IPL works to reduce body pigments. Plastic surgeon David Cangello, MD, recommends using a mix of IPL and filler to treat hands. "IPL reduces sun spots, and filler does a tremendous job of hiding visible veins and tendons," he said.
As long as you go to a reputable doctor, IPL doesn't have too many side effects. (That said, improper use of IPL can result in burning, so be sure to go to a certified dermatologist or plastic surgeon, not a medispa, for this treatment.) "As a result, your sun spots will turn dark and may form a crust until they fall off after a few days," he explained. Because of the required downtime, it's best to get IPL when your schedule is fairly empty — in other words, don't do it the day before your wedding. Same goes for filler: side effects of that procedure include slight bruising or redness for up to 24 hours.