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Hard to know without pictures and an ultrasound would be even more helpful but a lot of veins can be successfully treated with Ultrasound guided foam sclerotherapy. If very large and ropy then a microphlebectomy may be a better alternative.
In our practice in Arizona, we regularly treat superficial veins on the backs of hands, with patients of all ages - from their 30s to 70s and 80s. With the newer foam techniques (sclerotherapy), it is less common to have to remove veins (phlebectomy) as opposed to just closing the dilated ones...
Hi il24, The photos look a bit blurry. But, sclerotherapy could potentially help this. You just need to keep compression on the area for a full week after sclerotherapy. You may also benefit from the piqo laser for the hyperpigmentation areas. Hope this helps! Dr. Kiripolsky
This vein is likely treatable with sclerotherapy. Definitely seek out an experienced phlebologist. With a history of cardiac defect, your doc may wish to use a liquid sclerosant rather than foam.