Prominent veins on the backs of the hands are a common sense of concern for women as they age. Superficial veins on the back of the hands are not essential, since there is an extensive network of deep veins that serve as the important venous drainage from the hand.
The reasons for bulging veins are many, but are usually are related to a gradual increase in size of the veins over a period of years and the gradual loss of the protective fat pad on the backs of the hands. The treatment for this condition in our clinic is either Micro-Phlebectomy or Foam sclerotherapy.
A Phlebectomy is the removal of these veins through very small incisions under a local anesthetic and will give you an excellent cosmetic result. It is easily done, well tolerated by the patient, and the veins require no further treatment. This technique can be done in the office with local anesthesia. The procedure takes 20-30 minutes. One hand is done at a time. Post treatment, there is minimal amount of discomfort and the patients wear a ¾ glove for 2 weeks after the procedure.
The other technique is Foam sclerotherapy. Foam sclerotherapy involves the same injections that we do for leg veins only in the hand. This technique can be done in the office and requires no anesthesia. The procedure takes 10-15 minutes. One half of each hand is done at a visit and a total of 2 visits are required. Post treatment, there is minimal amount of discomfort and the patients wear a ¾ glove for 2 weeks.
The demand for hand vein treatment has grown substantially in recent years. Now we have all the tools to make these treatments as safe and painless as possible.