Capitol Vein Blog

Monday, April 11, 2011

Unsightly Hand Veins?

I’ve seen several patients over the last few months who are interested in eliminating unsightly hand veins. These veins tend to become more apparent as we age because the normal tissue on the back of the hands naturally absorbs.  The same is seen on areas of the face where we develop prominent facial creases or hollows under the eyes.  The face is easily treated with fillers (such as Restylane and Perlane) and Botox to achieve a more youthful look, but the hands remain as a “give away” of the true age.

Prominent hand veins are most certainly a cosmetic issue, and there should be no medical concern about bleeding or clotting. Additionally, these noticeable hand veins are not essential veins and can be treated without fear that their absence will cause problems.
Options to treat the back of the hand include fillers, injections (sclerotherapy) and vein removal (phlebectomy). Fillers are very effective at hiding not only the veins, but also the prominent tendons on the hand.  They are temporary and re-injections are needed every six to twelve months. 
Vein removal is successful for certain sized veins and has the benefit of immediate resolution.  This is done under local anesthesia and minimal scarring is noted.
Sclerotherapy is very effective for other types of veins, is done without the need for anesthesia, and gives results that are seen within a week or two. Compression gloves are needed after the injection to help the veins fade more quickly.
Unsightly hand veins are a cosmetic issue, and as such, insurance does not cover their treatment. Patients have been quite satisfied with the cosmetic results and find more youthful hands a real asset.

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