Over the past 4 years I've been getting more and more age spots on the back of my hands. I am 44 years old. The more they appear, the more I am ashamed to show my hands. I have tried a 4% hydroquinone bleaching cream my dermatologist prescribed, however it did not help at all. Is there any other solution? I am even considering some sort of cosmetic surgery. Please help.. i am desperate!