Hi and thank you for your question! While it’s hard to tell without seeing your before pictures, it appears that you have had some volume loss in your hands and hence you appear to have been candidate for fillers such as Radiesse. At this stage to further improve the texture of skin, you can consider laser treatments such as laser skin resurfacing with Fractional CO2 laser. For best results, a series of treatments is recommended. I hope it helps and good luck!
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