For varicose veins, we typically recommend a safe, minimally invasive procedure called Sclerotherapy. A salt solution is injected directly into each vein, causing them to collapse and ultimately disappear. For long-term improvement, we often complement Sclerotherapy with IPL (Intense Pulsed...
Hard to know without pictures and an ultrasound would be even more helpful but a lot of veins can be successfully treated with Ultrasound guided foam sclerotherapy. If very large and ropy then a microphlebectomy may be a better alternative.
In our practice in Arizona, we regularly treat superficial veins on the backs of hands, with patients of all ages - from their 30s to 70s and 80s. With the newer foam techniques (sclerotherapy), it is less common to have to remove veins (phlebectomy) as opposed to just closing the dilated ones...