As we age we lose fat (or volume) and elasticity in our skin of our hands. Over time hands can start to look thin and bony, with increasingly prominent veins and fine lines and wrinkles start to form. With exposure to harmful UV light, pigmentation may change in the hands creating the brown or black “age spots” common in adults over 40.


How can it help?

IPL and CO2 Laser treatments use light to improve skin tone, reduce age spots and correct prominent blood vessels. The light is delivered to the deeper parts of the skin (dermis), leaving the superficial surface of the skin (epidermis) undamaged.



During the initial consultation Dr. Arianayagam will carefully and thoroughly examine your hands. He will also ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments.

He will then discuss the options available and his recommendations. You should feel free to frankly discuss your goals and expectations and ask plenty of questions.



IPL treatments are conducted at the Scarba Street Clinic. Treatments take from 20 to 30 minutes and there is no downtime. Multiple treatments are required to get the best results.

CO2 Laser hand resurfacing is done under general anaesthesia as a day surgical procedure at the Coffs Harbour Day Surgery and you will need dressings for 5 to 10 days.



After IPL treatment you should expect your skin to be red and there may also be some swelling. Some people experience stinging or itching, which subsides after 12-72 hours.

After CO2 Laser treatment, protective dressings are applied over the treated area. These remain for 5 to 7 days and are changed as required.

While your hands are healing you will be asked to apply moisturiser to the treated area to keep it soft, and to avoid all sun exposure. The downtime will depend upon the depth and breadth of the treatment. Dr. Arianayagam will discuss this during your consultation and at the time of treatment.

After treatment it is critical to keep your hands well moisturised and use a broad spectrum sunscreen to protect the new skin.

Frequently Asked Questions

Intense Pulse Light (IPL) uses a broad spectrum of scattered light to address sunspots, broken blood vessels and to help skin tightening. It is good for surface changes, but not as effective for deep wrinkles and scarring. With IPL you require a series of 4 to 6 treatments, but there is no downtime after treatment.

CO2 Laser is a “deep” laser, which can treat superficial and deep skin with  power and precision. The CO2 Laser is used to address deeper wrinkles, skin tightening and dyschromia (alteration of the skin colour). Only one treatment, under anaesthesia, is required, and there is downtime involved post treatment.  CO2 Laser can also be used in a “fractionated” fashion, with less power but faster healing.

Dr. Arianayagam will discuss the best choice for you at your initial consultation.

The main side effects are skin redness, mild, temporary swelling, an accentuating of brown spots and crusting. Very occasionally you may get a bruise or small superficial blister.

Dr. Arianayagam will review the more rare side effects with you at the time of your initial consultation.

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To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

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