Wow this is one beautiful looking piece of work,love the light and deep darkness in this art work and very nicely set up as well.Love the title you gave this one,i can see a lot of work went into creating this piece,well done.
As always I'm nearly last on the scene, Rob, but I'll ignore the above comments and write my own critique even though I have 33 comments yet to write.
This is a killer image. Once again I'll heap my utmost praise on you for your imagination and your skills in manipulation. You are the Paint.net master without a doubt. I would say that there is something almost heavenly about your posting. It's reminiscent of the Sistine Chapel. While you're not Michelangelo and the shot is not god touching Adam, I think you get my drift. Brilliantly crafted work.
However, I think you might need to see a dermatologist about the skin on your hand. I don't think this is a problem that can be fixed with an over the counter moisturizer. I'm sending you some topical ointment for your hand. Keep in mind that conditions like this can easily spread. I see this is your right hand; so at least for the next week keep your right hand away from your naughty bits.
You get three gold stars, one fave and a nomination to the AC for this beauty.
I sometimes get the tip of my finger in a shot, but can honestly say I've never managed to get my whole hand in the frame. Not only that but you somehow manged to reach across the lens to get it in there. Great post work on this creative image, Rob. Nice textures in the hand and good lighting and shadows.