This tattoo is not the best for excising. It would leave a visible scar as well as it is in an awkward place. Which once excised can make mobility difficult. Research Tattoo removals in your area. Seek consultation with 2 or 3. Make sure you are very informed as to what each laser is capable of. There several machines out there that are capable of obtaining a very nice fade. You should seek consultation with a reputable, trained provider experienced in this area.
I personally would not recommend that you get an excision since it will leave a huge scar in your hand and could also affect your mobility. You should consider the Alex-Trivantage laser for this tattoo as it would respond well to this type of treatment. Please consult an expert. Best, Dr. Green
Rather than excising the tattoo which would leave a scar I would consider a treatment with a Picoway laser at the 1064nm. Scars are permenant. This would not be very expensive and should completely resolve with just a couple of treatments with that tattoo.