Sun exposure over many yearscausing “age spots” (solar lentigines).
Thinning skin with age, making veins and tendons more prominent.
Dry skin that accentuates wrinkles and texture.
Pigmentation changes from genetics, hormones, or previous inflammation.
Certain medical conditions or medications that affect skin appearance.
If you upload the picture, I can give a more specific description of what the hands look like.
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