Facial Sculpting & Contouring
Refine facial structure and restore youthful definition without surgery.


While the face often receives the most attention, the hands are one of the first areas to reveal signs of aging. Constant exposure and daily use can lead to visible changes over time, making them a true indicator of age.
At Epione, our non-surgical hand rejuvenation treatments are designed to restore a smoother, more youthful appearance by enhancing skin quality and overall tone. The result is hands that look refreshed, refined, and naturally revitalized, beautifully aligned with your overall aesthetic.
From typing to dressing, we need our hands all day long. For many patients, surgical options simply are not viable, considering the hassle and painful downtime they require. Instead, we opt for a fully nonsurgical approach to hand rejuvenation using Neustem. We can boost the look and feel of your hands’ appearance through non-invasive means in convenient treatment sessions.

Dr. Simon Ourian’s approach to hand rejuvenation combines advanced techniques to restore both structure and skin quality. Using Neustem, micro-droplet injections are precisely placed to replenish volume and stimulate natural collagen production, helping the hands appear smoother, fuller, and more youthful.
To further enhance results, Coolaser is used to gently resurface the skin and reduce the appearance of age spots, discoloration, and sun damage. This dual approach addresses both volume loss and surface imperfections, creating a more even, refined, and rejuvenated look.
Each treatment is carefully customized, with meticulous attention to placement and technique, ensuring results that are natural, balanced, and aligned with each patient’s aesthetic goals.

Neustem hand rejuvenation is quick, mild, and perfect for trying at any point in your schedule. A single session tends to take only about 10 minutes, depending on your treatment complexity. While injections may sound painful, when we use a topical numbing cream it turns the process into one with little to no discomfort. Patients can come in, have their treatment, and return back to their day withina matter of minutes.

Dr. Ourian’s hand rejuvenation treatment involves minimal downtime, with most patients able to return to their daily routine shortly after treatment. Following Neustem injections, you may experience mild swelling, redness, or slight sensitivity, which are temporary and typically resolve within a few days.
When Coolaser is included as part of the treatment, there is a short recovery period as the skin renews. Patients may notice redness, dryness, or light peeling for several days, with continued improvement as the skin heals. While this downtime isbrief, some patients choose to allow a few days to a week before social events.
Overall, the treatment is designed to be both effective and convenient, with only a short recovery period and results that continue to improve as the skin and underlying structure are restored.

Some of the benefits of nonsurgical hand rejuvenation are instant. For example, the restored volume should be instantaneous. Further benefits can appear over the next few days up to 2 weeks as new collagen is produced. Depending on the exact formula used, you may continue to see benefits for months to years. Factors such as age, physical activity, and health also can influence how long you see your hand rejuvenation benefits.

Even non-surgical treatments require exceptional expertise to achieve results that are both safe and beautifully natural. At Epione, hand rejuvenation is approached with a refined balance of precision, experience, and artistry.
Dr. Simon Ourian brings decades of experience in aesthetic medicine, combining advanced techniques with a highly trained eye for proportion and harmony. Each treatment is thoughtfully customized to restore a youthful appearance while preserving the natural character of your hands.
Known for his signature approach and trusted by a discerning clientele, Dr. Ourian delivers results that are subtle, elegant, and consistently refined.

Simon Ourian™, M.D., practices cosmetic dermatology by vocation and is a sculptor by avocation—but in Dr. Ourian’s mind, they are indivisible. “It is the study of human anatomy and the classic art of sculpting that has been the most vital aspect of what has helped me achieve natural, realistic results for my patients over the years.”


We perform every treatment with precision and care to achieve the results you want. Achieve stunning results through proven treatments matched to your unique beauty.


Call Epione today and one of our friendly staff can set you up with a consultation appointment. Meet with a world-renowned cosmetic expert to learn about nonsurgical hand rejuvenation in a welcoming and professional setting. Discuss your goals, craft your treatment plan, and take a step toward seeing results that you will love.

Aged hands often show prominent veins, tendons, and a loss of volume due to thinning skin and reduced subcutaneous fat. Collagen and elastin breakdown with age and sun exposure also contribute to crepey skin and wrinkling. These changes make hands look older even when other parts of the body appear youthful. At Epione, clinicians evaluate both volume loss and skin texture to craft a customized rejuvenation plan. Dr. Simon Ourian explains that treating both surface condition and underlying structure is essential for balanced hand rejuvenation without surgery.
Non‑surgical hand rejuvenation typically involves injectable fillers to restore lost volume and energy‑based technologies like radiofrequency or laser to tighten and improve skin texture. Injectable volume restoration makes the hands appear fuller and smoother while reducing the visibility of veins and tendons. Complimentary skin tightening treatments stimulate collagen production to improve elasticity and tone. At Epione, these modalities are combined based on each person’s aging pattern and aesthetic goals. Dr. Simon Ourian notes that this multi‑modal approach often produces more natural and youthful results than any single method alone.
Yes. Some non‑surgical approaches that target aging hands also address pigmentation concerns such as sun spots or age spots. Laser and light‑based therapies specifically reduce melanin‑rich spots while stimulating skin renewal. When combined with volume restoration, this can lead to more unified tone and texture on the back of the hands. At Epione, clinicians assess pigmentation alongside volume loss to recommend the most effective combination of treatments. Dr. Simon Ourian explains that addressing both tone and structure helps hands look rejuvenated from multiple angles.
During hand rejuvenation procedures, patients may feel mild pressure from injections or warming sensations from energy‑based devices. Most treatments are well‑tolerated and do not require anesthesia beyond topical numbing. After treatment, mild swelling, redness, or tenderness is common but usually resolves within a few days. At Epione, clinicians provide clear guidance on aftercare to support healing and optimize results. According to Dr. Simon Ourian, minimal downtime is a key benefit of non‑surgical hand rejuvenation compared with more invasive approaches.
Results from injectable volume restoration are often visible immediately, with continued improvement as minor swelling settles over the following week. Skin tightening and texture enhancement treatments produce more gradual results as collagen remodeling unfolds over several weeks to months. The longevity of effects depends on the technologies and fillers used, as well as individual aging patterns and lifestyle factors. At Epione, Dr. Simon Ourian provides personalized timelines and maintenance plans so patients know what to expect at each stage of improvement.
Good candidates are individuals who notice thinning skin, increased visibility of veins and tendons, dark spots, or textural changes on the back of the hands and want cosmetic improvement without surgery. Those in good overall health and with realistic expectations typically benefit most. At Epione, clinicians assess skin quality, volume loss, and aesthetic goals during consultation to determine the most appropriate plan. Dr. Simon Ourian emphasizes that individualized evaluation helps ensure the safest and most effective outcome for each person’s unique hand structure.
Non‑surgical hand rejuvenation avoids incisions, anesthesia, and extended downtime associated with surgical procedures. While surgical options may be considered for extensive skin laxity or structural concerns, non‑surgical methods excel at reshaping volume and improving skin quality with minimal disruption to daily life. At Epione, clinicians help patients weigh the benefits and limitations of non‑surgical versus surgical approaches. Dr. Simon Ourian explains that many people prefer non‑surgical refinements for subtle rejuvenation that integrates seamlessly with their overall aesthetic goals.