a manicure is mostly spent looking at the back of somebody’s hand. the nail is the small part. the rest of what is in front of you is just hand, palm down, sitting there while you work.
i did nails professionally for twelve years and i own a cleaning company now, so my own hands have had both careers. and the assumption built into almost everything said about hands is that they get old from being used. water, chemicals, work, dishes.
the american academy of dermatology has a page on this and it is blunter than that. rough patches frequently develop on our hands because the hands get lots of sun. not because of the sink. the sun.
the two different problems people are treating as one
the wet-dry damage is real and i have written about it at length, because hands that live in water split and peel and the nails go soft. that is a hydration problem with a hydration answer and it happens on a timescale of days.
what the aad is describing is a different thing on a different clock. age spots, in their words, tend to gradually increase in size with age and time spent in the sun. the crepey texture comes from somewhere else again: as we age, our skin loses collagen and elastin, substances that keep our skin firm and plump, and it holds less water, so our skin becomes drier.
so one of those is this week’s dishes and one of those is twenty summers. people put the same lotion on both and then decide the lotion does not work.
the sentence that made me stop and read it twice
on the same page, under prevention, the aad lists sunscreen on the hands every day, gloves for cleaning and gardening, and then this: dermatologists suggest a thin, sun-protective glove while driving.
driving. that is a recommendation i have never once heard said out loud by anybody, and it is sitting on a dermatology association’s website. your hands are on a wheel, in front of a window, for however much of your life you spend in a car, with nothing on them.
i have a link for that, and it comes with an honest caveat. these UPF 50+ sun gloves are the ones i know about, because they get sold to people sitting under nail lamps rather than to drivers. they are fingerless. that means they cover the back of the hand, which is where the spots are, and they do not cover your fingers, which are also attached to you. i am not going to pretend that is the same as full coverage.
the best answer here has no link on it
the aad’s actual first recommendation is this: apply a broad-spectrum, water-resistant sunscreen with SPF 30 or higher to your hands every day before going outdoors.
i do not have a verified link for a sunscreen, so you are going to have to go and pick one, and that is fine — the specification is right there in their sentence and it fits on a bottle. broad spectrum. SPF 30 or above. water resistant. on the hands, not just the face, and in october as much as july.
it is a strange thing to write a post about hands and have the central product be one i cannot sell you. it is also the whole reason to read this instead of a listicle.
the rough patch that is a doctor, not a cream
this is the part of the page i did not expect. the aad says those rough patches may be actinic keratoses, which it describes as precancerous, that they can develop earlier if you used tanning beds, and — the line that matters — some AKs turn into skin cancer. their instruction is that a dermatologist should evaluate rough patches.
so here is a product i am deliberately not linking. i use a 15% lactic acid cream on my own feet and it is the single most useful thing i know about a callus. putting an acid exfoliant on a rough patch on the back of a hand, before anybody has looked at it, is sanding down the exact thing a dermatologist needs to see. the source made that decision, not me.
a patch that is rough, does not go away, keeps coming back in the same spot, or feels like sandpaper under your thumb gets looked at. nothing in the rest of this post is for that.
what actually goes on your hands
the aad’s mechanism for moisturizer is worth saying precisely, because it changes when you use it: lotion after washing and bathing helps to trap water in your skin. it traps water. it does not supply any. so it goes on while the hands are still damp, and if you wait until they are dry there is nothing left to trap.
for daytime, when you have to keep using your hands, a big tub of CeraVe cream is the one i would buy — cream rather than lotion, because lotion is mostly water and evaporates off. for overnight, Aquaphor is the heavier, greasier, genuinely occlusive option and it is unpleasant to wear in daylight, which is why it goes on at bedtime.
neither of those is a brand i can tell you i have used for years. they are what the category needs — a cream with a real occlusive in it, and a petrolatum ointment — and both have the ratings to back the pick.
for the cuticles specifically, a bottle of jojoba oil does the job a cuticle oil does, and it is the same oil the little pens on the nail aisle are mostly made of.
the glove part, which is the boring part
the aad says to wear gloves for cleaning and gardening, and i am the last person who gets to argue. nitrile gloves are what works — the listing defaults to small, so fix the size — and a packet of thin cotton liners inside them is the difference between wearing gloves and giving up on gloves by week two, because the sweat is the reason people stop.
gloves are also the one intervention here that works on both problems at once. they keep the water out and they keep the sun off, and they are the least interesting sentence in this post.
the nails on an older hand
the aad’s line on brittle nails is four words long and it is the right order of operations: stop the causes first, then rehydrate. they also note that some patients need more help, such as using a special nail enamel, which is the only honest version of that aisle i have seen in print — and it is a narrower claim than the bottles make, which is a thing i have gone into properly elsewhere.
a ridge-filling base coat is the version of that i would actually buy, because the ridges are what make an older nail read as older and a base coat fills them optically without touching the plate. and a glass file instead of an emery board, because a snag on a dry hand tears, and a tear is how the whole week goes wrong.
and no, none of this changes how the nail grows. the plate is dead keratin and it does not care what you believe.
the honest ceiling
the aad is clear that the rest of their page is procedures — freezing, lasers, peels, fillers for lost volume, laser work for veins. those are real and they are a dermatologist’s office, not an aisle, and the page’s own summary is the sentence to end on: while you cannot stop aging, there are things you can do to make your results last longer.
nothing in this post removes a spot you already have. all of it is about the next twenty summers, which is annoying, because so was the advice twenty summers ago. the splits and cracks are the fixable half. this half you can only stop adding to.
some of the links above are affiliate links, which means i may earn a commission if you buy through them, at no cost to you. #ad #WalmartPartner — i should say plainly that none of the eight products here are ones i have a documented history of using. the three hand-and-foot products i genuinely do use are foot products, and i have linked none of them, including one i have deliberately left out for the reason given in the body. everything above is either what the category actually needs or what a dermatology association’s own page asks for, and the single most important item in this post is a sunscreen i have no link for.
the waterlogged hands rescue card is the one i made for the other half of this — the wet-dry damage, the glove routine, the order you do things in. it is free, two pages, and it is on the resource library with everything else.
leave your email and i will send it to you.