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I have found that injections with Radiese are very effective in adding volume to the hands and help to camouflage the veins that are present. Typically the injections can last several years and that is the best treatment in my opinion. However, fat injections are another possibility.
Prominent veins on the backs of the hands are a cosmetic concern, particularly for women as they get older. There's an expression that you may have heard: "You can tell a woman's age by the appearance of her hands". Well, that doesn't have to be the case - these veins can be either eliminated or masked in several different ways. If it's just the veins you're trying to get rid of (and not trying to also mask the underlying tendons and build volume on the backs of the hands), options include sclerotherapy (injection of the veins), microphlebectomies (taking out the veins through tiny incisions) and endovenous laser ablation (EVLT). On the other hand (no pun intended!), if you'd like to build volume on the backs of the hands to mask the veins and tendons, you should consider dermal fillers just as Radiesse, Juvederm Ultra Plus or Voluma. Keep in mind that if you treat the veins directly, they will no longer be available for IV access should you get sick one day...so hopefully you have good veins in the forearms or antecubital regions that they can access. The veins will still be available should you choose fillers. The downside to fillers is that they are not permanent and depending on the product you choose will last 1-2 years. Hope that helps!
Large hand veins should be treated with microphlebectomy.I find sclerotherapy to be effective for smaller veins.Filler is also best for smaller veins.An in person examination is best for guidance.
Veins in the hands can become visible with volume loss that occurs with aging. These are normal veins that simply show more as the surrounding soft tissue decreases. This can be treated with injection of filler (Radiesse) or fat transfer to give the hands a more youthful appearance.
Depending on the size of the veins and the experience of the provider, foam sclerotherapy of hand veins can give a very good result.