Non-surgical hand rejuvenation using Radiesse and hyperdilute Radiesse — selected based on your specific concern by a University of Miami-trained nurse practitioner.
Kelly Wolfe, MSN, FNP-BC built her hand rejuvenation practice around a discipline most Miami injectors skip: figuring out what's actually aging your hands before selecting the treatment. Volume loss is the most common hand aging concern, and Kelly's biostimulator practice is built specifically around it. For patients whose primary concern is pigment damage or age spots, the right answer is laser care at a dermatology partner she can refer you to. Most patients end up with a phased plan: biostimulator filler with Kelly for volume and skin quality, plus laser elsewhere for pigment when needed.
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OWNER · UNIVERSITY OF MIAMI-TRAINED · FL APRN #11005134
Visible dorsal veins and tendons, age-related volume loss, sun damage, age spots and pigment, crepe-y or thin skin texture, GLP-1 / Ozempic-related hand volume loss, overall aged appearance.
30–45 minutes for a Radiesse or hyperdilute Radiesse session. Most patients return to errands the same hour, full hand use the next day.
Radiesse: immediate volume, fully settled 2 weeks, plus continued collagen build over 3 months. Hyperdilute Radiesse: gradual skin-quality rebuild over 12 weeks across 2–3 sessions.
$1,200–$2,200 per session. Comprehensive multi-session biostimulator plans run $2,400–$5,400 across 2–3 sessions. Per-treatment pricing, in writing, before any injection.
Kelly Wolfe, MSN, APRN, FNP-BC — Florida APRN #11005134, University of Miami-trained. Microcannula technique for filler. Every injection, every appointment.
1000 5th Street, Suite 414 — South of Fifth, Miami Beach 33139. $4/hr attached garage; free street parking nearby during business hours. 8 minutes from Brickell.
Aging hands result from three distinct problems Kelly addresses at South Florida Face and Body — volume loss, dermal thinning (crepe-y skin), and the diffuse volume loss that comes with GLP-1 therapy — plus a fourth, age spots and pigment damage, that Kelly does not treat in-house and refers to a Miami dermatology partner for laser care. The right starting point is identifying which problem is doing the most visible aging on your hands, then choosing the treatment (or treatment pathway) that actually addresses it. A patient whose hands look "old" because of pigment damage gets undertreated by a filler-only practice; a patient whose hands look old because of volume loss gets undertreated by laser-only care.
The hands are also one of the body’s most environmentally exposed areas. UV exposure, frequent washing, exposure to harsh detergents, the absence of consistent sunscreen — all of these accelerate hand aging well beyond the timeline of facial aging. Most patients arrive surprised to discover their hands look 10 years older than their face. They aren’t wrong about the discrepancy; they’ve simply protected their face more carefully for decades.
The good news for the patients Kelly treats: the dorsum responds to volume restoration more efficiently than many facial areas. The hand has limited muscle movement, so filler integrates well and lasts longer than in motion-heavy areas. The collagen-stimulating biostimulator — hyperdilute Radiesse — works particularly well on hand skin because the dermal scaffolding is well-defined and responds predictably. What matters is matching the treatment to the actual problem — and being honest about when a different specialist serves the patient better.
The dorsal hand (the back of the hand) is where hand aging is most visible. Its anatomy is simple compared with the face but unusual in one important way: there is very little fat between the skin and the underlying tendons, veins, and bones. Even modest volume loss reveals the structures beneath. That’s why hand aging tends to look dramatic relatively quickly — and why volume restoration produces such immediate visual improvement when it’s the right intervention.
AGING PROBLEMS WE
TREAT IN-HOUSE
BIOSTIMULATOR OPTIONS
FOR THE HANDS
FDA-APPROVED FILLER
FOR DORSAL HANDS
Most patients arrive describing their hands as "aged" without identifying which specific change is doing the visible aging. Below are the four primary aging problems and the right treatment for each. Many patients have two or three of these simultaneously — which is why combination plans are usually the right answer.
Age-related fat pad atrophy on the dorsal hand exposes the veins, tendons, and bones beneath. The hand appears skeletal, bony, or "veiny." This is the most common complaint and the one that responds most dramatically to treatment. The answer is volume restoration — primarily Radiesse, the only FDA-approved filler for dorsal hand volume.
Solar lentigines (age spots), uneven pigment, and freckling from decades of UV exposure. The dorsal hand gets sun every time you drive, walk, or eat outdoors — and rarely gets sunscreen. Filler will not address pigment; laser will. South Florida Face and Body does not perform laser treatments — Kelly refers patients whose primary concern is pigment damage to a trusted Miami dermatology partner for fractional laser or IPL care. Many patients combine her biostimulator work for volume and skin quality with laser care at the referral.
Skin that looks thin, crinkles when you pinch it, or has developed a papery texture. This is dermal thinning — loss of collagen and elastin in the skin itself, not just volume loss beneath it. Hyperdilute Radiesse rebuilds the dermal scaffolding gradually across 2–3 sessions. The collagen-stimulating biostimulator works particularly well for hand texture because the dermal scaffolding responds predictably to controlled stimulation.
The reality for most patients: hands have volume loss AND age spots AND some textural change. Treating just one problem leaves the others visible. A typical comprehensive plan at this practice combines Radiesse for volume restoration with hyperdilute Radiesse for skin quality across 2–3 visits over 2–3 months — and Kelly refers to a dermatology partner for laser pigment correction when age spots are part of the concern. The combined result is meaningfully more youthful than any single treatment.
Radiesse is the FDA-approved standard for dorsal hand volume restoration and the most commonly used hand treatment at this practice. Hyperdilute Radiesse rebuilds dermal scaffolding for crepe-y skin and diffuse volume loss. Fat grafting (surgical) is the longer-lasting alternative referred to a plastic surgeon for patients with severe volume loss. For patients whose primary concern is age spots and pigment damage, Kelly refers to a trusted Miami dermatology partner for laser care — that's the right tool for that problem, and she's honest about not offering it in-house.
Calcium hydroxylapatite microspheres delivered via blunt-tip microcannula across the dorsum, then gently hand-spread for even coverage. Provides immediate volume restoration that hides prominent veins and tendons, plus stimulates collagen for 3–6 months for a more durable result. The only filler with FDA approval specifically for dorsal hand volume restoration (granted 2015). Typically 1.5 mL per hand for first-time patients. Read more about Radiesse →
Visible dorsal veins, prominent tendons, bony appearance. The default first-line treatment for volume-loss hand aging.
Standard Radiesse diluted with saline and lidocaine to a lower concentration, then injected into the superficial dermis to stimulate collagen and elastin production without focal volumization. Improves skin quality, smooths crepe-y texture, and strengthens the dermal foundation. Typically requires 2–3 sessions spaced 6 weeks apart. Results emerge gradually over 12 weeks and last 18–24 months. Read more about hyperdilute Radiesse →
Thin, crepe-y, or papery hand skin where the underlying issue is dermal quality rather than focal volume loss.
For patients with severe dorsal hand volume loss whose anatomy needs more restoration than filler can practically deliver — or patients who want a one-time permanent solution rather than ongoing maintenance — fat grafting (transferring fat from your abdomen or thighs to your hands) is the surgical alternative. This is a plastic surgeon procedure, not done at South Florida Face and Body. Kelly will tell you honestly at consultation if your anatomy is better served by fat grafting and can refer you to a Miami plastic surgeon she trusts for this work.
Severe hand volume loss, patients wanting permanent results, patients tired of filler maintenance cycles.
Prominent dorsal hand veins are the most common reason patients seek hand rejuvenation. The instinct is to think of this as a vein problem — and to wonder whether the veins themselves need to be removed. Usually they don’t. Most cases of prominent dorsal hand veins are caused by age-related volume loss exposing veins that were always there. Restoring the lost subcutaneous fat covers the veins and produces a youthful appearance without touching the veins themselves.
This matters because the wrong intervention can produce a worse outcome. Sclerotherapy of dorsal hand veins (a vein-specialist procedure that involves injecting the veins to scar them down) is appropriate in specific cases where the veins are abnormally dilated or symptomatic. It is the wrong choice for the typical patient whose veins are simply visible because the fat pad has atrophied. For most patients, Radiesse alone resolves the appearance of veiny hands completely.
Kelly will tell you honestly at consultation whether volume restoration will address your veiny hands or whether you need a vein specialist referral. If your veins persist after Radiesse, that conversation can happen at the two-week settle check rather than committing to an unnecessary procedure upfront.
GLP-1 medications cause rapid weight loss, and hand fat is one of the areas where the change becomes visible earliest — often before patients have lost the abdominal weight they were aiming for. The hands start to look thin, the veins become prominent, the tendons more visible, the skin slightly papery. The pattern usually appears 6 to 12 months into GLP-1 therapy.
The treatment approach for GLP-1-related hand volume loss differs from age-related hand volume loss in two important ways:
The volume loss is diffuse, not focal. GLP-1 patients lose volume across the entire dorsal hand fairly evenly. Hyperdilute Radiesse — which builds dermal foundation across the whole hand — often produces a more natural result than focal Radiesse alone.
Volume loss may still be progressing. For patients still actively losing weight, filler placed today may need to be revisited in 6 months. Kelly will discuss the right timing at consultation — sometimes the best move is to wait for weight stabilization, sometimes it’s to use hyperdilute Radiesse across multiple sessions that can be adjusted as the patient’s body continues to change.
Kelly’s background is genuinely relevant here. Her biochemistry master’s research focused on metabolism and appetite-suppressing hormones — the same pathway GLP-1 medications act on. Combined with her Certified Functional Medicine Practitioner credential, the consultation about restoring volume on an ongoing GLP-1 regimen is one she’s clinically prepared for in a way most aesthetic injectors aren’t. Disclose your GLP-1 medication at consultation — it changes the treatment plan meaningfully.
Months of GLP-1 therapy before hand volume change appears
Hands are used heavily throughout the day in ways the face is not. They wash 10+ times daily, grip steering wheels, carry grocery bags, type on keyboards, and get sun exposure every time you leave the house. The aftercare protocol for hand rejuvenation has to account for this reality — and most competitor pages skip the hand-specific guidance entirely.
The hand rejuvenation aftercare that matters:
Hand rejuvenation is appropriate for most patients with visible hand aging, but there are scenarios where it produces poor outcomes or where a different intervention serves the patient better. Naming them honestly:
How we approach this differently. An honest “no” or “not yet” saves the patient’s money and protects the result. If hand rejuvenation isn’t the right call for you, Kelly will say so directly and point you toward the right next step — whether that’s surgical fat grafting referral, vein specialist consultation, waiting for weight stabilization on GLP-1, or treating an underlying skin condition first. Restraint is the discipline that protects the practice’s reputation and the patient’s wallet.
Most Miami Beach practices won’t publish hand rejuvenation pricing. We do, because patients deserve to know what they’re walking into before they sit down. The ranges below reflect what Kelly actually charges as of 2026. Your written quote at consultation reflects your specific plan.
1.5 mL per hand typical. The FDA-approved hand filler.
For skin quality rebuild. Most patients need 2–3 sessions.
What you pay for. Per-treatment pricing means your invoice reflects exactly what was performed. Comprehensive multi-session plans (Radiesse for volume plus hyperdilute Radiesse for skin quality, for example) typically run $2,400–$5,400 across 2–3 sessions over 2–3 months. No opaque “treatment package,” no upcharge for cannula versus needle — microcannula is the default for hand filler. For patients who also need laser pigment correction, that work is done at a dermatology referral and priced separately by that practice.
How Miami Beach compares to the national average. Miami Beach hand rejuvenation pricing runs roughly 10–20% above the national average, reflecting overhead realities. Quotes meaningfully above the ranges published here usually reflect Brickell or Bal Harbour rent — not better outcomes.
South Florida Face and Body sits in Suite 414 at 1000 5th Street, at the southern tip of Miami Beach. From SoFi, Kelly draws hand rejuvenation patients across the barrier islands, across the causeway to mainland Miami, and from as far south as Key Biscayne. Hand patients in particular often combine treatments with face procedures in the same visit — making the discreet office location and consistent provider continuity meaningful.
SoFi is one of the most accessible aesthetic locations in the city — close to the MacArthur Causeway for Brickell, Downtown, and Key Biscayne patients, and a clear straight shot up Collins or Indian Creek for Mid-Beach, Surfside, and Bal Harbour. Hand rejuvenation patients often appreciate scheduling alongside cheek, jawline, or temple work in the same visit, which the discreet SoFi office accommodates without the patient flow of a high-volume med spa.
1000 5th Street, Suite 414 · Miami Beach, FL 33139
Geography matters in hand rejuvenation planning more than patients realize. A Brickell executive with daily handshake-heavy meetings has different timing constraints than a Sunset Harbour patient with a flexible schedule. A Bal Harbour patient who travels frequently and presents at events has different recovery-window considerations than a Coconut Grove patient with a quieter calendar. Kelly factors lifestyle into modality choice and appointment timing — not just the hands at rest.
A hand rejuvenation appointment at South Florida Face and Body runs 30–45 minutes. The actual injection is 15–25 minutes. The rest is the conversation about which approach is right for your specific hand aging — Radiesse for focal volume, hyperdilute Radiesse for diffuse skin-quality rebuild, or a phased combination across sessions.
Hand rejuvenation at South Florida Face and Body is built around a discipline most Miami practices skip: starting with what’s actually aging the patient’s hands before selecting the treatment, and being honest about which problems Kelly treats in-house versus which warrant a referral. Most competitor practices treat hand rejuvenation as a filler procedure full stop — Radiesse and nothing else, with no conversation about whether the patient’s actual concern is volume, skin quality, or pigment damage. Kelly’s lane is the volume and skin-quality work — Radiesse and hyperdilute Radiesse — and her referral relationships with Miami dermatology partners handle the laser pigment work she doesn’t perform in-house. The patients who switch to her typically come for that honest conversation, not because they already know which product they want.
Kelly Wolfe is a Florida-licensed Advanced Practice Registered Nurse (APRN #11005134) and board-certified Family Nurse Practitioner (FNP-BC), credentialed by the American Nurses Credentialing Center. She holds a Master of Science in Nursing from the University of Miami, plus a Master’s in Biochemistry from Missouri State University, where her graduate research focused on metabolism and the role of leptin and appetite-suppressing hormones. The biochemistry background is genuinely relevant for hand work in two specific ways. First, the calcium hydroxylapatite chemistry of Radiesse — how the microspheres scaffold against tissue and how fibroblasts respond to them — is real clinical reasoning behind why Radiesse holds longer in hands than in motion-heavy areas. Second, the GLP-1 patient conversation: metabolism, leptin, and appetite-suppressing hormones are the same pathway Ozempic and Wegovy act on, meaning the consultation about how to restore hand volume on ongoing GLP-1 therapy is clinically informed rather than templated. She is also a Certified Functional Medicine Practitioner.
The continuity matters for hand work because hand rejuvenation is often staged across multiple sessions — Radiesse in one visit, hyperdilute Radiesse biostimulator sessions in subsequent visits, follow-up assessment at the settle check. The practitioner who placed your filler is the only one who can read whether the volume is integrating as expected and whether the next session should add, maintain, or pivot. Kelly is the practitioner from consultation through every follow-up visit.
Same-week consultations available. South of Fifth, Miami Beach.
Kelly is the owner of South Florida Face and Body. A board-certified Family Nurse Practitioner trained at the University of Miami, she holds advanced degrees in nursing, biochemistry, and biology, with graduate research focused on metabolism and the role of leptin and appetite-suppressing hormones. She practices at the intersection of functional medicine and aesthetic injection — meaning the conversations in her treatment room often go beyond the syringe to consider sleep, hormones, metabolism, and inflammation as part of how your skin and face actually present.
Licensed as an Advanced Practice Registered Nurse in the State of Florida (APRN #11005134), Kelly brings more than three decades of experience in health, fitness, and clinical practice. She has performed aesthetic injections in South Florida for over a decade and has trained alongside the dermatology and plastic surgery community that built Miami’s aesthetic reputation.
She is the one who answers your text message. She is the one who calls the day after your injection.
From your first consultation through every follow-up, you’ll work directly with Kelly — one injector, one set of hands, one consistent plan.
Advanced practice registered nursing with a focus on family health and primary care.
Research focused on metabolism and the role of leptin and appetite-suppressing hormones.
Research with a strong foundation in human physiology, cellular biology, and biochemistry.
National certification in family practice and primary care.
Authorized to diagnose, treat, and prescribe medications in the State of Florida.
Advanced training in root-cause diagnostics, hormone optimization, metabolic health, and integrative wellness.
Over 30 years helping clients achieve sustainable health and wellness transformations.
"Kelly is amazing! She's incredibly knowledgeable and progressive when it comes to facial aesthetics. My Botox and filler results are natural, refreshed, and exactly what I was hoping for — never overdone."
"Kelly is the best! She truly listens to what her clients want and delivers exactly what you picture. My results are always natural and beautiful. I couldn't recommend her more!"
"I was on holiday in Miami and got the details for Kelly. Best Botox I have had. She advised my husband who had very sore facial skin with a new routine and has cleared up the problem. Would certainly recommend."
Common questions from Miami Beach patients considering hand rejuvenation. If yours isn't covered here, Kelly is happy to answer directly — text or call.
Hand rejuvenation in Miami Beach runs $1,200 to $2,200 per session depending on the product.
Radiesse for both hands: $1,400–$2,200 (the FDA-approved hand filler).
Hyperdilute Radiesse: $1,200–$1,800 per session (most patients need 2–3 sessions).
Comprehensive multi-session biostimulator plans typically run $2,400–$5,400 across 2–3 sessions. Every quote is in writing before any procedure. If laser pigment correction is also indicated, that work is referred to a dermatology partner and priced separately. Full pricing breakdown above.
Duration depends on the product. Radiesse for hand volume lasts 12–18 months — sometimes longer because the hand has limited muscle movement to break down the product. Hyperdilute Radiesse results last 18–24 months as the collagen scaffolding persists beyond the gel itself.
Most patients maintain results with annual touch-ups.
The best treatment depends on what’s bothering you most:
Volume loss (visible veins, prominent tendons): Radiesse — the only FDA-approved filler for dorsal hand restoration. Done at this practice.
Skin texture (crepe-y, thin, papery): Hyperdilute Radiesse rebuilds dermal foundation. Done at this practice.
Age spots / pigment damage: Laser (fractional or IPL). Not performed at this practice — Kelly refers to a trusted Miami dermatology partner.
Combination of concerns: Kelly’s biostimulator plan for volume and skin quality, plus a parallel referral for laser pigment care when needed.
Most patients have multiple concerns. Full symptom-to-treatment guide above.
Yes — Radiesse is the only dermal filler FDA-approved specifically for dorsal hand volume restoration. This approval was granted in 2015 based on clinical data showing safety and effectiveness for hand augmentation.
Other fillers (Juvéderm, Restylane products) may be used off-label for hands by some injectors, but Radiesse has the regulatory designation and the calcium hydroxylapatite scaffolding specifically suited to dorsal hand anatomy. Hyperdilute Radiesse is a different formulation (lower concentration) used for skin quality rather than focal volume.
Hand filler differs from face filler in three meaningful ways:
Product choice is more constrained. Radiesse is the FDA-approved option specifically for dorsal hand volume; the face has many filler categories to choose from.
Injection technique uses blunt-tip microcannula for hand-spread coverage rather than focal placement — distributing volume across the dorsum rather than into discrete zones.
Aftercare is different. Hands wash 10+ times a day, get sun exposure constantly, grip and press through normal use. Limiting hand washing, pressure, and sun exposure post-treatment matters more than for face filler. Full hand-specific aftercare above.
Yes — but the mechanism is indirect. Filler restores the volume that was hiding the veins, rather than removing the veins themselves. Most cases of prominent dorsal hand veins are caused by age-related volume loss exposing veins that were always there.
Restoring volume with Radiesse covers the veins and produces a more youthful appearance. In cases where prominent veins persist after volume restoration, or where the veins are abnormally enlarged, hand vein sclerotherapy (a different procedure requiring a vein specialist) may be the right next step.
Kelly will tell you honestly at consultation whether volume restoration alone will address your veiny hands or whether you need a vein specialist referral. Full discussion above.
Yes — laser treatments are the standard of care for age spots (solar lentigines) and pigment irregularity on hands.
Fractional laser (CO2 or non-ablative fractional) treats both pigment and skin texture together. IPL (intense pulsed light) treats pigment specifically with less downtime. Most patients see meaningful age spot reduction after 1–3 sessions.
South Florida Face and Body does not perform laser treatments — Kelly refers pigment-dominant patients to a trusted Miami dermatology partner. Many patients combine her biostimulator work for volume and skin quality with laser care at the referral.
Continued maintenance depends on ongoing sun exposure — strict SPF 50+ on hands daily is non-negotiable for keeping the result.
Yes — GLP-1 medications (Ozempic, Wegovy, Mounjaro, Zepbound) cause rapid fat loss throughout the body, and hands are one of the areas where the change becomes visible early. Patients on GLP-1 therapy often notice their hands looking older — veins more prominent, tendons more visible, skin thinner — within 6 to 12 months of starting treatment.
The face, hands, neck, and chest tend to show volume loss in tandem. The treatment approach for GLP-1-related hand volume loss often uses hyperdilute Radiesse rather than focal HA filler, because the volume loss is diffuse rather than localized. Read the full GLP-1 section above.
Most hand rejuvenation procedures are well-tolerated with topical anesthetic.
For Radiesse hand injection: Kelly applies topical anesthetic and uses a blunt-tip microcannula. Most patients describe the sensation as pressure rather than sharp pain. Radiesse is also formulated with lidocaine for additional comfort.
For hyperdilute Radiesse: Similarly tolerated — topical anesthetic plus the comfort of microcannula delivery.
The hand is a less sensitive injection area than the face for most patients.
For Radiesse: Mild swelling for 24–72 hours, bruising (if any) resolves in 5–7 days. Most patients return to full hand use the next day with the caveat to avoid heavy gripping for 48 hours.
For hyperdilute Radiesse biostimulator sessions: Mild tenderness for 24–48 hours, minimal visible downtime, normal activity the next day.
The most important aftercare across all treatments is strict SPF 50+ on hands daily for at least 4 weeks post-treatment to protect the result. Full aftercare protocol above.
Most healthy adults with visible signs of hand aging — volume loss, prominent veins or tendons, age spots, crepe-y skin, or some combination — are good candidates.
You may not be a good candidate if you have an active skin infection on your hands, severe vein abnormalities requiring surgical or sclerotherapy treatment first, ongoing aggressive GLP-1 weight loss where the volume loss is still progressing, or unrealistic expectations that filler alone will reverse all hand aging. Full candidacy discussion above.
Disclose your full medical history and any anticoagulant medications at consultation.
Yes — and patients often do exactly this. Hand rejuvenation pairs naturally with cheek filler, jawline filler, temple filler, or any face treatment scheduled in the same visit. For GLP-1 patients with diffuse facial AND hand volume loss, a combined biostimulator plan addressing both areas across 2–3 sessions is often the most efficient approach.
Kelly will plan the sequencing at consultation based on what you want to settle when.
1000 5th Street, Suite 414, Miami Beach, FL 33139 — in the South of Fifth (SoFi) district at the southern tip of Miami Beach. We’re 8 minutes from Brickell, 10 from Mid-Beach, 19 from Bal Harbour. $4/hr in the attached garage; free street parking is available around the building during business hours (one nearby zone is metered). Phone: (786) 529-1860. Hours: Monday–Friday 10am–6pm, Saturday 10am–2pm.
