I have these bulging blood vessels of the backs of my hands that I really don't like. What can be done about them? Can I have them injected with sclerotherapy? Is it safe to do so?
Treat Bulging Vessels on Hands
Doctor Answers 19
Disguising vessels on the hands
Before you go so far as to render the large veins on the backs of the hands unusable, I would consider doing a filler like Radiesse for the backs of the hands to disguise the veins and tendons we see most commonly. We have had excellent results and patients are very pleased and don't compromise their circulation.
Sclerotherapy on hands
Sclerotherapy injection is a great way to improve the appearance of bulging veins on the hands. Sotradecol is a choice agent for sclerotherapy on the hands. The hands are elevated slightly during treatment and afterwards the hands are wrapped with gauze and elastic bandage to keep pressure on the treated veins. Often the hands are swollen and red in the areas treated for several days after sclerotherapy. Somtimes at about 2 weeks after injection, we will have the patient return to drain any clots that have formed in the superficial veins. This speeds healing and reduces discomfort.
Vessels on Hands
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Treatment for hands
In this case, I would consider using Radiesse for the backs of the hands. Radiesse is a great way to add volume between the vessels, resulting in a youthful appearance of the hands.
Sclerotherapy for hand veins - things to know about sclero solutions
- Polidocanol, 0.5% - 1%
- Sodium tetradecyl sulfate 0.2% - 0.5%
- Saline and dextrsoe (Sclerodex)
- Hypertonic saline
All of these are used for sclerotherapy with varying success. They each have advantages and disadvantages.
Glycerin is classified as an osmotic agent. Hypertonic saline and Sclerodex are hyperosmolar agents. Polidocanol and Sodium tetradecyl sulfate are classified as detergents.
Trade names for Polidocanol are Sclerovein. Trade names for sodium tetradecyl sulfate are Sotradecol, fibrovein and thrombovar.
Sclerotherapy is best option
What a coincidence that I was sent this question by Realself.com! I am doing the lecture at the upcoming meeting of the Amercian Academy of Dermatology on the subject of sclerotherapy of the hands.
This is a very safe option when performed by an experienced dermatologist or plastic surgeon. There are precautions and a few contraindications (such as previous lymphatic surgery in the arm for breast cancer), but your doctor can discuss the details at consult. Another option is to inject filler (Radiesse is excellent) and that procedures plumps the skin over the veins and the don't show through as much. My website has some examples of results.
Treating the Aging Hands with Injections and Lasers
There are many ways to treat aging hands. I use a combination of lasers such as Fraxel and V-Beam to the hands for sun damage and wrinkles. I do a great deal of injections with fillers such as Radiesse and Restylane to plump up the skin and camouflage the veins and tendons in older hands. Please consult an expert in hand injections. Best, Dr. Green
Endovenous laser and sclerotherapy work well.
Enlarged hand veins are common concern especially in women. They tend to get larger with age as volume is lost in the hand and also due to hereditary factors. If the vein is large enough to accommodate a laser fiber then it can be lasered just as we do the saphenous vein in the leg. The smaller hand veins are then treated with sclerotherapy. The results are cosmetically very acceptable with minimum discomfort and down time.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.