Sclerotherapy or filler - which treatment option would be best for rejuvenating my hands? (photos)

Question

Hello, II have met with 2 doctors about hand rejuvenation. I initially asked about sclerotherapy because I saw good before and after pics for that. However, one doctor said yes, he would do it; while the other doctor said, no he would not do it. They both told me about the risks of sclerotherapy on bulging veins on the hands, but I'm still wondering which would be better (sclerotherapy or filler - and if filler, what kind) thank you so much (54 F)

Nelson Lee Novick, MD · Answer

As a rule, I do not suggest sclerotherapy for prominent veins on the backs of the hands for a couple of reasons. For one, the veins have become prominent due to the loss of volume in the surrounding and overlying skin. So, it is logically more appropriate to restore the lost volume (which can be relatively easily done with a robust HA volumizing filler), rather than shrink the veins with sclerotherapy. This approach addresses the underlying cause of the problem, which sclerotherapy does not. 
What's more should the need ever arise medically to use those veins for blood tests or IVs, which is not uncommon when treating certain more serious medical conditions, these important veins would no longer be available. 
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

Renuva is a great option to rejuvenate not only hands, but many areas.  Renuva is different than traditional HA fillers.  It gradually replaces age related fat loss with your body's own fat for longer lasting results.  I encourage you to learn more by visiting my website or meeting with an elite injector near you.

Ajaya Kashyap, MD · Answer

Thank you for your query. Sclerotherapy is infrequently done for the hand veins but it can be safely done for limited number of veins. Filling with hyaluronic acid fillers or autologous fat is often preferred . I prefer the latter and it gives very good rejuvenation. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns.All the best!

Eric M. Joseph, MD · Answer

Based on your photos, I would not recommend sclerotherapy. Your veins have become more prominent as you have lost volume in your hands. We have had lovely results rejuvenating the back of people's hands with microdroplet Silikon-1000, a permanent soft tissue filler. I hope this helps. Sincerely, Dr Joseph

Sclerotherapy or filler - which treatment option would be best for rejuvenating my hands? (photos)

Answers (8)

Answer: Hand Rejuvenation with sclerotherapy or filler

Answer: Hand Rejuvenation with sclerotherapy or filler

Answer: Microdroplet Silikon-1000 injections for permanent hand Rejuvenation.

Answer: Microdroplet Silikon-1000 injections for permanent hand Rejuvenation.

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Everything you need to know about Hand Rejuvenation

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Sclerotherapy or filler - which treatment option would be best for rejuvenating my hands? (photos)

Answers (8)

Answer: Hand Rejuvenation with sclerotherapy or filler

Answer: Hand Rejuvenation with sclerotherapy or filler

Answer: Microdroplet Silikon-1000 injections for permanent hand Rejuvenation.

Answer: Microdroplet Silikon-1000 injections for permanent hand Rejuvenation.

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Recommended reading

Everything you need to know about Hand Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.