Hi and thank you for your question! While the pictures are a bit blurry, it seems that you do have some sun/brown spots on your hands, and I cannot emphasize enough on the importance of protecting hands from sun light to delay hand and skin aging. IPL or Erbium laser can help with the sun spots. More importantly, it appears that your hands have noticeable volume loss, making the blood vessels and tendons more visible. This issue can be easily corrected with injection of fillers in back of hands. I hope it helps and good luck!
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