EVLT treatment on bulging hand and wrist veins.

Two options for treating hand veins that you find unsightly include The injection of foam (sclerotherapy) or performing a phlebectomy. Not all vein doctors work on the hands however these two treatments are both very effective for resolving unsightly hand veins.

I would recommend against treatment of hand veins. Hand veins often look more prominent as we age because we lose some fat under the skin that makes them less obvious when younger but the veins themselves are not abnormal and it is best to leave them alone.  While there are physicians whom will treat this with sclerotherapy, there are many of us, including myself that believe it is better to preserve these veins.  These veins are often used for IV access, and while you can use other veins for IV access, in an emergency, quick access is valuable. Consider getting a filler or fat transfer to the back of the hands which would not only give you the results you want but also help preserve those veins. 

The veins in your hands are normal. Only in the rare cases of obstruction in the drainage of these veins like problems in the subclavian vein (SVC syndrome) they dilate but in reality they are still "normal veins". What you might be noticing is that the veins are more noticeable than when you were younger. This is a common finding mostly in older people that are not overweight. A simple solution with very good cosmetic results is fat transfer to the dorsum of the hand that will " hide " the veins and also because of stem cells in the fat it might improve the quality of the skin. Alternatively the use of fillers is a good option. Getting rid of the veins by any means is just not a good idea. Hope this helps.