So much wrinkles on hands

Hi My grandmothers hand are full of wrinkles I know that at a age of 63 it is common But wrinkle on hands is too much as compared to whole body Is it normal? Or it can be treated? Kindly suggest something helpful to me U can see the picture attached Thanks.
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Dr. Manoj Agarwala
Dermatologist 11 yrs exp Delhi

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Greetings. The picture you have provided shows sign of skin ageing and is absolutely normal to have such skin at that age. I can also notice some red spots towards one end which is suggestive of senile purpura. These condition do not need any specific treatments.
Next Steps
Consider using a moisturizer like cetaphil for daily application.
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