Would Sclerotherapy work for large vein on the hands due to age?

Question

I have large, ugly, prominent veins on the back of my hands. Would Sclerotherapy work to get ride of them. If "no", why not?

William Groff, DO · Answer

The special solution that is used, sclerosing agent, dissolves veins from the inside and is proven to be very safe and effective. Another method for reducing hand veins, even large prominent ones, is laser therapy. These treatments may require multiple sessions, but they are ultimately very effective. The best hand vein reduction method to use is best decided through an in-person consultation with a skilled, board-certified dermatologist who can assess your condition and come up with a customized treatment plan that will address your concerns in the best manner. Thanks for your question!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to sclerotehrapy. Sclerotherapy can be performed on hand veins up to 3mm in size. Injectable fillers are also an option to help "plump" the areas around the vein to give the appearance of smoother hands. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps!

Mitchel Goldman, MD · Answer

Sclerotherapy is one of the best methods for reducing hand veins! The FDA-approved sclerosing solution, dissolves veins from the inside and is proven to be safe and effective. Veins will become hard at first and slowly dissolve over a few months. Some patients will also benefit from injection of FDA-approved Radiesse to fill the hands minimizing the appearance of both tendons and veins. Please consult with a board certified dermatologic surgeon wgo can best assess and treat your condition.

Jason Emer, MD · Answer

For the hands, I recommend treatment with fillers and/or lasers, which can camouflage the veins. I don't recommend sclerotherapy for this much because people need these veins as they age.

Hratch Karamanoukian, MD, FACS · Answer

Large varicose veins on the hand are best treated with microphlebectomy. Sclerotherapy would make them shrink but would leave hard, ropy cords which are not acceptable for most patients. As well, they may leave hyperpigmentation along the injected veins. You need to use some adjunctive measures after sclerotherapy to reduce post inflammatory hyperpigmentation. it is those that don't follow such instructions immediately following sclerotherapy, starting on day1 (next day) that seem to get retained hyperpigmentation. I recommend 2 creams: Scleroquin plus and Sclerovase and also Scler-X supplement to reduce post inflammatory hyperpigmentation (see link below) as well as compression stockings for at least 2 weeks.
H Karamanoukian MD FCS
certified vein specialist from ABVLM and double board certified surgeon

Hugo Pin, MD · Answer

Sclerotherapy is a safe option fro hand veins. I discussed the problem with  ED colleagues and there is no problem in removing those veins, if you need venous access, they will find one.  If they are large veins, then micro-phlebectomy can be a better option. With sclerotherapy,  you will have lumpy veins during a few weeks and they can require several sessions of drainage of the "dead blood", often associated with new bruises. Fillers is a good option for small veins, they will not hide large veins.

Bruce E. Katz, MD · Answer

Thank you for your
question. Sclerotherapy can be used to treat large veins on the hand.  I
would also recommend using the filler Radiesse. It can be used to plump the
skin in areas that are sunken and wrinkled. The microspheres of calcium within
it work to pump the injected skin and also encourage your body to stimulate
collagen in those areas. For more information, I recommend getting a in person
consultation with a board-certified dermatologist.

Craig Schwartz, DO · Answer

There are a number of good options for how to best treat large veins on the hands, and yes, sclerotherapy is one good choice, although if the veins are truly large, they may require several treatment sessions. They can also be treated by endovenous laser, or by removal with minimally invasive phlebectomy, where they are taken out through tiny, needlestick holes. Another choice that works well in combination with these specific vein treatments, is to address the soft tissue volume loss often seen with aging, by adding dermal fillers to the back of the hand, such as Radiesse. I would recommend being seen by a specialist who has multiple treatment options available, who can determine which will work best for your needs.

John Landi, MD · Answer

I treat hand veins all the time with a combination of endovenous laser for the larger veins and sclerotherapy for the smaller veins.  The results are very good and long lasting. This is a procedure done in the office under local anesthesia with minimum down time.

Ivan Brooks, MD · Answer

Sclerotherapy is a treatment option.  Some physicians, myself included,  may recommend a filler agent to help camouflage the larger protruding veins before shutting down those veins indefinitely.    Filler allows one to have venous access for surgery or other medical care.  Sclerotherapy if chosen has a nice result but one loses the venous access option on the hand.

Would Sclerotherapy work for large vein on the hands due to age?

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