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33 y/o female with prominent veins in the arms and hands - Are there options to minimize their appearance?

Caring933799Nov 1, 2022
I am female 33 years old and have very prominent bulging veins in my hands and wrists/forearms that are unsightly and make my hands look very masculine and aged. I have very low body fat in my arms and upper body, which accentuates the veins even more. What can be done to address this issue? The veins are blue and I assume are functioning/doing a job.

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Dr. Thomas Wright, MD
Physician, Board Certified in Venous and Lymphatic Medicine
4.9 | 124 Reviews
Answered on Jul 30, 2023
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Brian Heeringa, MD, FACS

The vein pictured is a reticular vein. These veins run just under the skin and can often "feed" spider veins. It can be treated with cosmetic sclerotherapy or even a very limited microphlebectomy if you do not like the appearance but it is not a clinical concern and does not need to be treated,...

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The blue reticular or spider veins on the legs are best treated with sclerotherapy. This procedure involves injecting various medications, such as Asclera, Varithena, and glycerin, These medications damage the wall of the treated vein which then gets absorbed by your body and disappears. A very...

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Thomas Wright, MD

There are no adverse interactions between all the Sclerosant medications and Botox. I think it is safe to both be done on the same day. Wishing you the best of health

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