Thank you for your question!I recommend getting a formal evaluation with an experienced cosmetic dermatologist to develop a personalized treatment plan that works for you and see if there are safer approaches to achieving your desired results.At my practice, an approach I like to use for the hands to rejuvenate them, is a combination of fillers like Radiesse and Belotero, fat grafting with platelet-rich plasma (PRP) and lasers like Fraxel. I also recommend medical-grade skin care to improve the appearance of your hands and/or maintain treatment results such as iS SHEALD Recovery Balm found at Emeragecosmetics.com, along with free consultations with one of my Skin Care Specialists. (link below).Again, I recommend seeing at expert.Best, Dr. Emer