Brief Answer:
Need to look for few warning signs

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

Based on the looks of it, it can be a variant of normal skin as in some individual skin is naturally thin or papery and gets wrinkled like this easily or may lack underlying fat pad or have less vessels underneath then others. If it is painless and not causing any problems you can stay relaxed and don't over think about it. Using supplements of vitamin C and E, zinc and calcium help to keep skin fresh and healthy. If it causes pain in winters or on exposure to cold water, or turns blue or deep red then it may not be ignored and getting examined by your GP during those spells to rule out Raynaud's phenomenon becomes mandatory nd management will then depend upon once the diagnosis is confirmed however based on this history and looks, it is unlikely. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.

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Brief Answer:
It may need medical and supportive measures

Detailed Answer:
Hi! Thanks for the detailed feedback. If you have been diagnosed as raynauds already then it can be an implication of that as in raynauds primary issue is that small vessels in skin contract due to envoirnmental stimuli like cold temperatures etc. If this contraction is permanent, it can cause permanent damage to the tissue or portion of the fingers distal to it. To avoid that, if contraction is significant enough that it causes pain or numbness, then keep these warm and avoid xposure to cold. Taking drugs like calcium channel blockers may keep the vessels open and avoid symptoms. If painful then OTC analgesics like acetaminophen may help. And consult a rheumatologist for further work up and management options in detail. Regards.

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