What procedure would best work on these veins? (photo)

Doctor Answers 7

Large hand veins should be treated with microphlebectomy

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These are considered large varicose veins of the hand.

I recommend microphlebectomy for these large hand veins. 

Sclerotherapy would require multiple post procedure interventions. 

Hratch L Karamanoukian MD FACS

certified vein specialist (ABVLM) and double board certified surgeon

Removal of large hand veins

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Selective sclerotherapy or microphlebectomy is an excellent procedure for your large bulging hand veins. 


Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Hand veins

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We offer hand rejuvenation.  We will foam the veins in the hands, can inject fillers around the veins and to plump the tissue which will need to be repeated in time and we lighten sun spots in the hands with lasers.  Fillers are temporary and do not last forever.  Foam sclerotherapy will work on the veins to help them disappear with a few sessions. 

Susan Fox, DO
Hollywood Phlebologist
5.0 out of 5 stars 8 reviews

Hand Vein Treatment

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Fillers do not make the veins disappear.  They are only a temporary fix.  The best treatment for your hand veins is to treat the veins directly.  I use an endovenous laser(laser goes into the larger veins) and sclerotherapy for the smaller veins.  The results are cosmetically great and the long term results are excellent.

John Landi, MD
Naples General Surgeon

Hand Vein Removal

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Hand vein removal without surgery using sclerotherapy is quick, easy, painless and lasts forever.

It is not widely offered because it takes skill and experience.

There are informative videos if you search Hand Vein Removal.

Fillers are acceptable to "hide" bulging hand veins but filler needs to be repeated.

Hand rejuvenation may include up to three distinct issues:

Bulging hand vein removal with sclerotherapy.

Restoration of age related tissue loss with fillers.

Removal of age related skin blemishes and "spots" with surface laser.

Christopher Pittman, MD
Tampa Phlebologist

Best procedure for hand veins

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Marked visibility of the veins and some time tendons of the hands is due to age related moderate to sever loss of fatty tissue in the hands. RADIESSE injectable hand filler is FDA-approved for hand augmentation to correct volume loss in the dorsum of the hands and will makes the hand veins much less visible and give the hand a fresh younger look.

Maha Shakir, MD, FACS
Portland General Surgeon

Hand veins

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As we age, unfortunately our skin gets thin (or is already thin) and hand veins become more prominent. There are some folks who are very skilled at shrinking these veins with sclerotherapy. However, based on risks and benefits, I would recommend fillers for the hand.

Manu B. Aggarwal, MD
Lima Phlebologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.