We work hard to keep our bodies youthful and our faces wrinkle-free, but we often neglect our hands, which are equally vulnerable to signs of aging. While rich creams are a soothing way to smooth skin on the hands, particularly after summer-long exposure to  sun, salt and chlorine, there are now advanced products and therapies that can do much more.

“We have to look at hand rejuvenation structurally, the way we look at the face,’’ explains Dr. Neil Sadick, a Park Avenue dermatologist.  Translation: there’s a step-by-step process to address damage.

Step one: veins. As we age we lose fat, and the skin on our hands becomes thinner, veins look more prominent. Scleratherapy, painless injections often used on legs veins, are the way to go. Generally, two treatments are required. $525 per hand at Dr. Sadick’s office.

Step two: volume. Radiesse, Juviderm, Restylane or Sculptra are the fillers of choice to plump up sagging skin and eliminate wrinkles. A small cannula is used instead of needles, to reduce the chance of bruising. $1,000 to $2,000 at the office of dermatologist Dr. Neal Schultz.

Step three: color. There are several ways to reduce brown spots.  Fractional laser treatments remove discoloration and build collagen at the same time. (Two to three sessions are recommended at $1,000-$1,750 each). Glycolic or hydroxy acid peels don’t go as deep as lasers, but they do exfoliate and reduce pigmentation ($150-$500).   Hydroquinone cream is an at-home bleaching alternative ($82 for a two-month supply). All at the office of plastic surgeon Dr. Adam Kolker.

Intense pulsed light also gets rid of brown spots and builds collagen. The “hand photo facial” takes three to four sessions, which are $200 each at Shizuka New York.

Texture. Exfoliation is key to improved texture, so basic scrubs help, but Vitaglow, multivitamin micro injections containing B2, B3, B5, B6,B11, C,D,E and hyaluronic acid nourish the skin and improve its quality. $600 at the office of Dr. Shirley Madhere.

Apart from visits to the doctor or aesthetician, there are some home products that can improve the appearance of your hands. Avon’s $15 ANEW Clinical Luminosity Pro Brightening Hand Cream SPF 15 uses injectable-grade L-Aspartic Acid to inhibit pigment production and lighten brown spots. It also promises to reduce the appearance of fine lines in one week. The $5.99 Sally Hansen Firming Hand Creme tones with peptides and hydrates with shea butter. Burt’s Bees Naturally Ageless Skin Smoothing Hand Cream exfoliates with lactic acid, moisturizes with shea butter and banishes free radicals with antioxidant-rich pomegranate—all naturally, and for $13.