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Can hand sclerotherapy create new veins or make existing ones more prominent/larger?

I had sclerotherapy on the large veins on tops of my hands over 6 months ago and now my under wrist veins have gotten grossly HUGE and I have a new (or coming to the surface?) network of smaller veins on the tops of my hands and on my palms. I am actually bruising on my palms from doing normal everyday activities with my hands because of these new veins. What is going on - has my body created new veins to manage the circulation?

Doctor Answers (1)

Formation of new veins.


Sclerotherapy works by the sclerotherapy solution pushing the blood out of the vein and the solution irritates the walls of the vein so that they stick together to dissolve the vein. A side effect of sclerotherapy could be new vein formation (neovascularization). This occurs occasionally when veins are closed and new veins grow. This seems to be what has happened with you. You should follow up with your treating physician. I usually treat the larger hand veins with a laser and and the smaller ones with sclerotherapy. This combination avoids the new vein formation most of the time. If nay new veins form then they can be retreated by either option depending on their size. You may need a second treatment.

Naples General Surgeon
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