How Do I Get Rid Blue Veins on the Chest?

 See a Board Certified Plastic Surgeon or Board Certified Dermatologist with a vascular laser or a BCVascular surgeon.  They can recommend the best line of therapy.

Visible, blue chest veins can usually be treated with sclerotherapy (injections of sclerosing agents directly into the veins, which leads to their eventual resorption/disappearance). It is difficult to treat these veins with vascular lasers since their diameter/depth is too great for the laser to effectively destroy them.

Thank you for the question! In my practice, I offer sclerotherapy, endovenous laser ablation, Clariven treatment, and microphlebectomy to treat varicose and spider veins. It's not a matter of one treatment being better than the other. Rather, the choice of treatment will depend on a size and location of your veins.  
In recent years, endovenous laser ablation (EVLA) has replaced traditional surgical method of treating varicose veins. This procedure uses laser to heat the veins instead of surgically removing them. The heat produces a steam bubble inside the vein, which destroys the vein walls, causing the affected vein to collapse. The body, in turn, naturally absorbs the dead tissue. 
Sclerotherapy tends to be one of the most popular and widely-used treatments these days. It uses a sclerosing solution that causes the vein to shrink. Usually, sclerotherapy takes only 1 to 2 sessions to achieve fading of the undesirable veins.  
Microphlebectomy is ideally suited to treat superficial bulging veins that are too large for sclerotherapy.  In the course of this treatment, I will make tiny incisions as small as 1mm to remove an undesirable vein.  He will then insert a small phlebectomy hook to extract the vein through the puncture.  Only a small section of the vein needs to be eliminated because the remaining portion of the vein will clot off and gradually fade from view. 
Clarivein is a minimally-invasive procedure that utilizes a thin infusion catheter clinically proven to deliver faster results and guarantee up to 74% less pain than most other peripheral vascular treatments. 
An in-person exam with a board-certified plastic surgeon would be the best way to assess your needs and obtain expert medical advice. Best of luck! 

Chest veins are very effectively removed with foam or regular sclerotherapy with 0.5% or 1% Polidocanol (Asclera). Check venavascular website for before and after pictures.

Although there are various modalities to treat 'blue veins' on the chest, most are large enough to be injected with a technique called foam sclerotherapy with excellent results. Capillaries and some reticular complexes can be treated with lasers. We employ lasers and sclerotherapy for cosmetic veins on the chest in our laser office. Unfortunately, treatment for veins on the chest are not covered by medical insurance. 

Veins on the chest may be addressed with Sclerotherapy, radio-frequency and laser therapy.  The modality used depends on the size of the veins which have to be addressed.  However, one must always be aware of the potential risk of Hyperpigmentation post treat.  While it is tolerated well by patients who get their legs treated, I think it would much more difficult to accept dark discoloration of the skin on the chest.

Depending on the size and depth, vascular lesions in general respond very well to the Nd:YAG laser treatment. Often, vascular lesions can be eradicated with one treatment; however, in some cases it may require up to two treatments.  

Veins on the breast and chest are drainage veins for the breast and nipple areola. they should not be removed

Spider Veins and varicose veins of the chest can be treated.  Vein treatment is similar to treatments for varicose and spider veins of the lower extremities.  Options include:

1]  Sclerotherapy with foam sclerotherapy agents.

2]  Endovenous laser ablation depending on the vein size and location

3]  Topical lasers, again depending on the size and location of the veins.

Small matts of spider veins can be treated with topical lasers, radiofrequency as well as sclerotherapy.  Ultimately, review and planning are necessary to determine the correct approach. I have seen many patients who present with large chest/breast veins after having breast augmentation surgery.  The breast implants are felt to cause pressure on the surface veins of the breast/chest wall.  Increase pressure in the surface veins causes the veins to increase in size with increased visibility.  It is difficult to appreciate the look of your new breast when the contour is mapped with visible veins. 

I would need to see you before giving any advice. Small veins can be treated with injectable agents such as Asclera.