Introduction: The dorsal surfaces of our hands are highlyvisible parts of the body. However with ageing, the aestheticaspects of the hand deteriorate both in skin quality and contourwith obvious appearance of dorsal blue veins and extensortendons and loss or absence of subcutaneous fat tissue. Theliterature reports multiple options for addressing this problem,yet, all of these choices come with their own complications.Micro-autologous fat transplantation (MAFT) can be used inhand rejuvenation by a combined effect. First, it is possibleto augment the dorsum of the hand and enabling visible blueand tortious veins as well as extensor tendons to be covered,resulting in a hand with uniform contour. Second, the fat cellshave a beneficial effect on deep and superficial skin tissuevia adipocytes derived stem cells (ASCs), thereby rejuvenatingthe hand. In this study, we performed (MAFT) technique tothe three dorsal subcutaneous laminae for the rejuvenation ofdorsal hand surfaces and determined its clinical results.Patients and Methods: MAFT was performed in 10 femalepatients. Fat was harvested by performing liposuction fromdifferent body sites, then processed, and refined by decantation.Purified fat was micro-transplanted to the dorsal surface ofthe hand in parcels of small volume. Post treatment checkupswere performed at 24h, 7 days, 1 month, 3 months, and6 months after treatment to evaluate the healing cascade ofthe hand. Patient-rated satisfaction was reported during thepatient's final visit (at least 6 months after MAFT) using a 5-point scale. The Merz Hand Grading Scale (MHGS) was usedto grade the appearance of the dorsal hand preoperatively and6 months after MAFT.Results: The mean age was 46 years (range, 36-60 years).The time taken for MAFT injection of both hands was in anaverage of 30min. On average, the fat volume delivered was20 and 18.5mL for the right and left hands, respectively. Nomajor complications were reported, only mild to moderateswelling was noted, which subsided after 7 to 10 days postoperatively.Favorable outcomes were noted in patients whichwas reflected on the patient satisfaction rate (very satisfied,60% and satisfied, 30%) and the remarkable up grading inthe Merz Hand Grading Scale.Conclusion: In conclusion, the clinical results obtainedusing MAFT have demonstrated the feasibility and effectivenessof this approach in creating a younger and more beautifuldorsal hand appearance. However, longer studies in a largerpatient population are required to assess long-term outcomes.