When the Face and Hands Tell Different Stories: Dr. Daniel Gould Featured in The Editor’s Edit

Beverly Hills plastic surgeon Dr. Daniel Gould, MD, PhD was recently featured in The Editor’s Edit, sharing his perspective on an area of aesthetic medicine that is receiving greater attention: hand rejuvenation and the importance of creating consistency between the way the face, neck, skin, and hands age.

In the feature, Dr. Gould explains that modern aesthetic medicine is moving beyond treating individual wrinkles or isolated areas. Instead, the focus is increasingly on congruency. A face may appear rested and naturally rejuvenated, but if the hands show significant volume loss, thinning skin, prominent veins, or sun damage, the contrast can create a visible disconnect.

Dr. Gould notes that the hands age differently from the face. While facial aging often involves the gradual descent of ligaments, fat compartments, and soft tissue, the hands primarily lose volume and tissue thickness. As the soft tissue scaffold thins, tendons and veins become more prominent, while declining collagen and cumulative sun exposure can contribute to crepey texture and pigmentation.

Because these changes occur at multiple levels, Dr. Gould approaches hand rejuvenation as a layered treatment rather than relying on a single intervention. His approach may combine a patient’s own fat to restore structural volume, regenerative components of fat to support tissue quality, fractional CO2 laser resurfacing to address collagen and pigmentation, and complementary treatments designed to support the skin over time.

The article also reflects Dr. Gould’s broader philosophy that fat should be understood as living tissue rather than simply as filler. By focusing on the biological quality and structural support of tissue, treatment can address more than the visible signs of aging alone. He also emphasizes the importance of remaining measured about emerging regenerative technologies, distinguishing encouraging clinical results from claims that may extend beyond the current evidence.

Ultimately, Dr. Gould describes a shift away from simply trying to make patients look younger. The objective is to help patients age in a way that feels cohesive, recognizable, and natural. By considering areas such as the hands alongside the face and neck, aesthetic treatment can focus on the whole person and ensure that each area tells the same visual story.

Read the full article in The Editor’s Edit:
https://www.theeditorsedit.com/the-edit/when-the-face-and-hands-tell-different-stories