Is hand vein removal a real thing?

Many people seek consults for hand veins.  As we age, the veins in the hand become more prominent and more visible due to the decrease in collagen.  We can remove or inject the veins and inject filler around the vein areas to add lost volume and can laser the hands to get rid of any spots on the hands.  This is a hand rejuvenation treatment.  I do not advocate removing too many veins in the hands as the patient can have swelling and discomfort.  However, many people are self conscious of their hands and ask for them to be treated.  Fillers need to be repeated and are only a temporary fix.  

I would be careful removing veins from the hand.  I would prefer putting more volume in with a fat transfer.  Removing a series of veins from the hand could cause your hand to swell.