I find topical lasers to be inferior to sclerotherapy for any vein big enough to get a needle into. Sclerotherapy is the gold standard and will yield the best results.
In the first picture your hand and fingers are extended and no significant veins are visible. Fillers can temporarily restore volume to the hand but they are not a long term solution. In the photo with your hand down you have prominent veins. Those are normal functioning veins...
The larger spider veins on the nose are usually easily treated with a long pulsed 1064 Nd:yag laser. Tiny nose veins can be very difficult to treat. They usually require multiple treatments with a 532 KTP laser. I have not had much success treating the tiny nose veins or redness with...