First of, the three hands caught my attention immediately. Then I looked a little closer, and realized there are actually 5 all together. The fact that that they all appear to belong to the same person really makes this intriguing. Black and white was probably a good choice. However, It seems a little too contrasty to me. The contrast adds to the image, but it might have been better to get some detail in the hair, and some of the other shadows. Not a big deal though.
All in all, it;s a great image, the hands, the mask, and that darrrk hair really add to a pretty strong mood in the image. Out of curiosity, did you use multiple exposures for this?