Juvederm or sclerotherap for very vascular hands? 29 years old (Photo)

Juvaderm or any off the shelf filler maybe a very expensive way to hide the veins on the top of your hands. Fat grafting works very well and would give you significantly longer results. Usually it can be done with numbing medicine and takes about 1-1.5 hours. Removal of the veins is another option, but you would be removing veins that one day you may need for IV's. This may not seem to important given we have lots of other veins to use but I always like doing procedures that improve looks but minimize anatomic disruptions if possible. Sometime to think about. Good luck 
John S Mancoll,MD

Thank you for your question and photograph. Juvederm is not the best filler to treat vascular hands. Radiesse can improve the appearance of veiny hands as it immediately restores volume loss in the back of your hands for smooth and natural looking results. I recommend you see an expert to determine the best treatment plan for you. All the best!

Thank you for your photo. Juvederm is a very injectable filler that is used in for areas of the body where additional volume is desired such as nasolabial folds and lips. Sclerotherapy is primarily used to treat spider veins on the legs. For large veins on the hand I would recommend using Radiesse, an FDA-approved dermal filler used for aging hands and veins. Please remember to seek treatment from a board-certified dermatologist. 

You posted the question of whether to use injection of Juvederm or injection of a sclerosing agent in the veins.  The answer is either or both can be done but experience with the vein injections reveals that many time they will recur over time.  Of course the Juvederm will wear off in time as well.  Usually I recommend using Radiesse as the filler, injecting with a cannula, and if the veins remain prominent after the Radiesse, then they can be injected with Asclera foam, (which usually is not necessary).

Thank you for your question and photograph. Juvederm
is not the best filler to treat vascular hands. Radiesse can improve the
appearance of veiny hands as it immediately restores volume loss in the back of
your hands for smooth and natural looking results. I recommend you see an
expert to determine the best treatment plan for you. All the best!

The best way to hide aging hands is to treat them with a filler such as Restylane.  I use a special technique to treat the hands but it may take two treatments to see the best results.  Please consult with an expert in fillers and hands for the best cosmetic results. Best, Dr. Green

Radiesse is FDA approved for hand rejuvenation. I would look into that treatment as a way to regain improve the visibility of the veins in your hand.

Thank you for your question!
I prefer Radiesse for hand filler, though be advised that swelling may occur and affect your work out schedule.  Prominent veins are part of an athletic trim physique so make your considerations carefully!

Hello, and thank you for your question. Doing vein injections is this area is not done to my knowledge. The veins in this area provide essential function to your vascular system of your hands muscles and other supporting connective tissue. It would be best if you proceed with adding volume to the surrounding ttissue with an injectable filler such as Radiesse which has FDA approval for volume augmentation around the hands. The pro of doing an injectable such as Radiesse is the longer term duration and that it would stimulate your own body to produce additional collagen around the injection site areas. 

Thank you for your question.  You would best bet from volumization with a filler.  While Radiesse is the product that has the FDA approval for hands, I prefer to use a product like Voluma delivered via microcannula as in my opinion it gives a more natural look.  Regards, Dr. Matt Elias