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A 74‐year‐old woman underwent UltraPulse laser skin resurfacing of the dorsal aspect of both hands. The procedure was done to improve chronic actinic changes for cosmetic reasons. A satisfactory cosmetic results was obtained without untoward complications. Persistent erythema was seen at the last follow‐up evaluation in the hand that had two passes. Cosmetic improvement was similar in both hands. The details of the treatment laser parameters and postoperative management are the subject of this report.