I lay my hands on the table, palms down, for inspection. I’m in the consulting room of the president of the British College of Aesthetic Medicine (BCAM) in London. Like most people, I use my hands a lot. I type for hours a day. I go bouldering, which means I have a lot of calluses. I cook, clean, cup my chin while staring out the window. What I’ve never done is to look at my hands as objects of interest in their own right. They’re an afterthought. The means to an end. But now that Dr Sophie Shotter has picked them up in hers and is weighing my flesh and pushing at the skin with her thumbs to see how it moves, I can see faint ripples of diamonds, the texture of crepe paper.
“Your facial skin is very clear, very smooth. When we look at your hands, you’ve got a bit more of that laxity going on,” Shotter says. “You don’t have pigmentation. You’re not covered in sunspots. But the veins and tendons testify to a loss of volume. The extreme end of that is one day we get what people describe as ‘old lady hands’ – significant volume loss with skin fragility overlying it.”
