h2h skill at 99 = 424
Add +16 for merits = 440
Damage = (440 *.11) floored = 48 (48.4 but you drop the .4)
To reach the next damage level of 49 you would need 446 skill (49.06) which you'd get from AF3+2 hands or Faith torque. In order to reach the next tier above that you would need to hit 455 skill (50.05) would would require af3+2hands, faith torque, and bruisers earring. There might be some augs existing that give h2h which would help you.
I'm not an expert, but I see most gearsets using AF2+2 hands over the AF3+2 hands. Also not seeing a lot using the Faith torque either so my guess is you get more out of the stats available from gear in those slots then you do from the damage increase from more skill.
Edit: Derp add +3 to all the damage values above because its (skill*.11) +3 (floor)