Worst that can happen with Sclerotherapy to hands?

If you have sclerotherapy on veins in the hands, IV's can be placed in alternative areas like forearm and elbow. Keep in mind, it may take a series of treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

You are correct.  Hand vein treatment is strictly a cosmetic procedure.  If the hand veins are removed either by sclerotherapy, laser or through tiny incisions then the forearm or upper arm veins with need to be used for IV access.  Also, I never remove the veins on the palm side of the wrist so these are available for possible future use.

Sclerotherapy in hands works very well. However, there will be permanent  loss of vein access for iV placement . IV placement can be used in your arms without any problem. 

Hand veins are frequently used for IV medications but there are other options.  Hand rejuvenation focuses on three things: Thinning of the skin and loss of subcutaneous tissue which reveals veins and tendons, sun damage causing age spots and large veins themselves.  My first step is to address the skin using laser and/or IPL. Then, I recommend the use of Radiesse to restore the plumpness of the hand. Frequently, this hides the veins. If the veins are still an issue, sclerotherapy would be my next choice of treatment.

Hello,
I am not clear as why you would like to do sclerotherapy on your hands!!??
A photo would be helpful.
Instead, the most common approach would be to inject filler which is quite safe. that would add volume and I find it one of the best for hand rejuvenation.
Radiess is FDA Approved and last 12-18 months.
Other option would be fat transfer or better to say grafting. It is the best or only way to go grafting when the fat taken from your other area of body, APPROPRIATELY prepared and then inject it in the hands. Proper technique makes the fat grafting 80% successful while improper method, well 20-70% just matter of chance.
Good Luck -- Dr Ray

This is a great question, one I hear frequently from patients. I counsel patients that the downside of removing the veins on the back of the hands is that there is one less area where an IV can be placed or blood can be drawn as they get older. That being said, most people who are asking to have these dealt with have prominent forearm and antecubital fossa (inside of the elbow) veins where these things can happen as well. We know it is safe to remove these veins in the hands from years of experience in the ICU, where patient's hand veins often "burned out" from having IVs in them for several days at a time. Veins in the forearm may be used for dialysis later, so I typically do not remove these (hopefully they'll never be needed but you want them there if you do!). One final word, I do not typically offer sclerotherapy of the hands but, instead, offer patients a total HVR, Hand Vein Removal. Sclerotherapy of the hand veins requires frequent follow up appointments to drain trapped blood in the hands, something that can be painful (not just the visit - in between the visits). I've had patients come to me because they had them injected and then the original provider couldn't drain the blood properly, leaving them with painful bulging hard veins for several months before they absorbed all the way. HVR is a 15 minute treatment in the office that provides instantaneous results (veins are gone when you leave) and none of the associated painful recovery. Hope this answers your question! Good luck! 

Hand veins are normal veins that become more prominent as we age because of the thinning of the skin and underlying tissue. They can be treated with sclerotherapy, which permanently destroys the veins. The other option is to inject filler into the hand. This gives a great cosmetic result, and preserves the normal veins. However, the filler must be reapplied yearly to maintain the desired cosmetic result.