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Ennis Plastic Surgery · Beautiful Medicine™

Hand Rejuvenation in Boca Raton

Texture, tone and volume. Considered together.

Donna Ennis, ARNPFamily nurse practitioner

Explore changes in the backs of your hands with Donna Ennis, ARNP. Different concerns call for different approaches, from skin care to selected filler treatments.

Explore Your Options

A personal approach

Your goals. Your comfort.

The skin on your hands and the volume beneath it change in different ways. Donna starts by asking which changes concern you: discoloration, rough texture, fine lines or a more prominent appearance of tendons and veins.

Your consultation considers skin health, previous treatments and everyday use of your hands. A plan may involve one treatment or a sequence, with enough time for healing between steps.

Donna Ennis, The Gentle Injector at Ennis Plastic Surgery in Boca Raton FLWatch the film
Donna Ennis, The Gentle Injector at Ennis Plastic Surgery in Boca Raton FL

Surface & support

Understanding Hand Rejuvenation

Sun exposure can affect pigment and skin texture. Changes in the soft tissue beneath the skin can make tendons and veins more visible. Surface treatment and volume replacement address different parts of that picture.

A chemical peel may improve selected surface concerns; a dermal filler adds volume in an appropriate tissue layer. Neither approach stops aging, and a photograph cannot determine which treatment suits you.

Surface changes and volume involve different layers

The back of the hand includes skin, soft tissue and deeper tendons. This simplified view separates surface concerns from changes in volume; it is not an injection map.

Back of an adult hand beside a simplified cutaway labeled skin surface, soft-tissue volume and tendons.
Educational illustration · Simplified anatomy; individual plans vary.Enlarge illustration

Skin treatments address selected tone and texture concerns.

Filler addresses selected volume concerns.

Surface changes and volume involve different layers

Swipe across the image to explore the enlarged diagram.

Back of an adult hand beside a simplified cutaway labeled skin surface, soft-tissue volume and tendons.

Educational illustration · Simplified anatomy; individual plans vary.

Your options

Match the Treatment to the Concern

Volume loss

Selected fillers can reduce the visibility of underlying structures on the backs of the hands. Radiesse has an approved hand-volume indication; products have different uses and risk profiles. Ask which specific product is proposed and why.

Texture & fine lines

A peel may be considered for suitable skin concerns. The product, treatment depth and your skin response determine the care and recovery involved. It does not replace missing volume.

Brown spots & uneven tone

Laser or intense pulsed light may be discussed for selected pigment concerns. IPL uses a broad spectrum of light and is not a laser. Donna can explain whether assessment or referral is appropriate and confirm current treatment availability.

Ongoing skin care

Sun protection and an individualized skin-care routine remain part of the plan. A new, changing or concerning spot needs medical assessment before a cosmetic treatment is considered.

A personal assessment

Start with Your Skin and Health

Your priorities

Describe what bothers you in daily life and the amount of change you want. Visibility of veins or tendons alone is not a diagnosis or a reason you must have treatment.

Your history

Discuss prior hand injections, skin procedures, allergies, circulation concerns, healing problems and medications. An infection, rash or unexplained lesion may mean postponing treatment.

Your schedule

Plan around work, handwashing, exercise and events. Ask about swelling, bruising, wound care and when to return to usual activities.

The lounge at Ennis Plastic Surgery, with botanical wallpaper, upholstered seating and a glass chandelier
Inside Ennis Plastic Surgery · Boca Raton, FloridaTour the practice

GO-Tox · Mobile concierge care

Injectables & fillers,
in the comfort of home.

Donna Ennis, ARNP, brings personalized injectable and dermal filler care to your home through GO-Tox, our in-home concierge service.

Explore In-Home Care

Your visit, thoughtfully planned

A private appointment with Donna.

Tell us your location and the treatment you’re considering. Our team will confirm availability, suitability and visit details with you.

Prefer to call? 561-405-9020

Your consultation

A Plan Before a Product

Talk about your goals

Describe what you notice on the backs of your hands: volume loss, visible tendons or veins, uneven pigment or rough texture. Donna assesses skin quality, previous treatments and which concerns a proposed treatment can address.

Review your health

Bring your medication and supplement list. Discuss allergies, prior reactions, cold sores, recent procedures, pregnancy or breastfeeding, and any active skin infection. Do not stop a prescribed medicine unless the clinician who manages it advises you to.

Choose the treatment together

Your provider explains the product, the proposed areas, expected changes, limits, risks and cost. Ask whether a proposed use is FDA-approved for that product or off-label, and what that distinction means for your plan.

Plan comfort and follow-up

Numbing may be offered depending on the treatment; some fillers contain lidocaine. Confirm aftercare, when to assess the result and who to contact if something does not feel right.

Your appointment

What Happens at a Hand Treatment Visit?

Confirm the plan

Donna assesses the concern and reviews the selected product or skin treatment, expected benefit, alternatives and risks. The proposed treatment area is cleaned and comfort measures are discussed.

Treatment-specific care

A filler appointment and a resurfacing appointment are different experiences. Ask what you may feel and how the treated area will be protected afterward; no treatment should be described as universally painless.

Arrange follow-up

Before leaving, know how to contact the practice and when to review the result. Do not massage or adjust an injected area unless specifically instructed.

Aftercare

Plan for Your Hands to Heal

Early changes

Filler may cause swelling, bruising, redness or tenderness. Resurfacing may involve redness and peeling. These changes can affect your routine even if a procedure is performed in an office visit.

Protect the treated skin

Follow your own instructions about cleansing, moisturizers, sun protection and activity. Avoid picking peeling skin, and ask when to restart active skin-care products.

Assess the settled result

Timing and maintenance depend on the selected treatment and your response. Filler is temporary; surface changes and volume loss may require different follow-up plans.

An informed choice

Know the Risks Before Treatment

Temporary swelling, bruising, tenderness and redness can follow filler treatment. Infection, lumps, asymmetry or delayed inflammation can occur. Some filler materials can be difficult to remove.

Symptoms that need urgent attention

Rare injection into a blood vessel can damage skin or cause blindness or stroke. Seek immediate medical attention for unusual pain, skin turning white, gray or blue, vision changes or stroke symptoms after treatment.

Your product matters

Review the specific product’s patient information with your injector, including allergies, precautions and whether treatment should be postponed. Results and recovery differ between people.

Skin treatments have different risks

Peels and light-based treatments can cause irritation, pigment changes, burns or scarring. Your skin type, sun exposure and selected treatment affect the risks and aftercare. Ask which options are appropriate for your hands.

Your care at Ennis Plastic Surgery

Meet Donna Ennis

Donna Ennis is a family nurse practitioner whose work at Ennis Plastic Surgery focuses on nonsurgical aesthetic care, including injectables, fillers and skin treatments.

Known as “The Gentle Injector,” she welcomes questions about your goals, comfort and treatment choices. Your consultation includes a review of the proposed product, its limits and the care you will need afterward.

Explore Donna’s Profile
Donna Ennis, ARNP
Donna Ennis, ARNP · Ennis Plastic Surgery

Before your visit

Questions About Hand Rejuvenation

Will filler remove age spots?

No. Filler addresses volume. Pigment or surface texture requires a separate assessment and may call for a different treatment.

Can I combine treatments?

Sometimes, but the order and spacing depend on the products, skin health and healing. Ask Donna to explain why each proposed step is useful.

Is every filler suitable for hands?

No. Approved uses, composition and risks differ by product. Ask which treatment is proposed for your hands and whether that use is approved or off-label.

Does Radiesse dissolve like an HA filler?

Radiesse cannot be dissolved with hyaluronidase. Discuss this distinction and alternatives before treatment.

Can I have hand treatment at home?

Ask about GO-Tox. The team must confirm the product, treatment suitability, location and available in-home services; resurfacing is not automatically part of a concierge visit.

A private consultation

Let’s talk about
your goals.

Bring your questions and the changes you would like to explore. Donna will help you understand your options, the proposed treatment and the care you will need afterward.

Or call 561-405-9020

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Ennis Plastic Surgery

Inside the practice

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