Hand Veins

Why are Veins Showing on the Back of my Hands?

As we age, our hands can be the area that shows our age in the most dramatic way. Veins on the backs of our hands tend to bulge and protrude more with every passing year. This is due to thinning skin and loss of elasticity in both the skin and the vein wall. It is also directly related to declining collagen production with natural aging and loss of subcutaneous fat in the area. 

Our providers bring their expertise and experience to improving the look of the veins on your hands. They typically use sclerotherapy.

Natural aging is usually why we are seeing more and more bulging veins on the backs of our hands, but there can actually be a variety of reasons this happens:

  • Temporarily rising blood pressure and body temperature – During exercise or when we are working with our hands, blood flow increases in the area. This swells the veins. Veins also swell in warmer climates, such as here in Houston, as the body sends more blood to the surface of the skin to cool. Hand Veins 
  • Weightlifting – Weightlifters often have raised, rope-like veins on their hands and lower arms because
  •  they develop hard muscles under them. 
  • Natural aging – As we age our skin thins and fat is redistributed away from the backs of the hands. Also, collagen production declines every year after our 20th birthday, so it does not provide the same framework to mask the veins on our hands.
  • Being underweight – If you are under your ideal body weight, your hand veins become more visible.
  • Phlebitis – Large veins can be due to the swelling and inflammation of phlebitis. 
  • Varicose veins – Although they are far more common on the legs, varicose veins can show up on the hands and arms. Varicose veins on the hands can be a sign of more serious health issues with your circulation.
  • Genetics – Some people are prone to bulging veins on their hands if their parents had the same condition.

What are the Benefits of Removing Hand Veins and Who is a Good Candidate?

The backs of our hands are always out there for everyone to see. It is not as if we spend much time in gloves here in Houston. They also show aging quite dramatically due to the way our skin thins on the backs of the hands. That means your hands can be showing your age, and probably then some. 

When your provider removes these veins, the backs of your hands become much smoother younger looking.

If you have bulging, exposed veins on the backs of your hands, odds are you are a great candidate for treatment at Texas Vein & Wellness Institute. The only people not applicable for these treatments have active skin conditions or infections on the hand skin. As soon as the inflammation resolves, you can then have treatment to lessen the appearance of the veins.

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Hand Veins
Hand Veins

How are Hand Veins Treated?

The main method for removing these unsightly hand veins is sclerotherapy. Amazingly, sclerotherapy was first developed to treat varicose veins back in the 1930s, but it remains the gold standard for closing off unwanted veins. You can read about this treatment in more detail on this page on our site: Sclerotherapy

Here’s a brief overview of how our providers perform sclerotherapy treatments:

Hand Veins

In this simple treatment, your provider utilizes a sclerosant solution. This is typically either hypertonic saline or hypertonic dextrose or a combination of the two. The sclerosant is injected into the bulging vein and it irritates the vein walls, causing them to collapse inward. This closes off the vein. Any blood flowing through the vein is instantly redirected to an adjacent healthy vein. 
 

 

Frequently Asked Questions

A.

After these treatments for hand veins, we will have you wear compression gloves for 12 hours. This helps the body tighten down the skin in the area and begin the process of scavenging the now-unused vein. You can return to normal activity, but you will have to wait a day for strenuous activity. 

A.

These are permanent treatments. The veins that are closed off will not once again begin handling blood. The body will scavenge and dispose of them. 

You can develop new bulging veins, but for most people these treatments dramatically improve the appearance of their hands for the duration. 

A.

These are typically larger veins, so they may not always go away with just a single sclerotherapy session. Larger veins may need from one to three treatments. But once the veins are gone, there is no need for more sessions. 

This contrasts with using dermal fillers on the hands to hide the veins. These cosmetic treatments are temporary, your results only lasting as long as the dermal filler lasts. This is usually from just 6-9 months in the hands. At that point, you need to return and have another injection session. This continues for the duration, which is tedious. 

Our simple procedures at Texas Vein & Wellness are a better solution to unsightly veins on the backs of your hands.

Hand Veins

Patient Review

I went with my daughter who was having 3 veins repaired. The entire staff were very welcoming. I was allowed to stay with my daughter throughout the procedure. Each step was explained as the[…]

I went with my daughter who was having 3 veins repaired. The entire staff were very welcoming. I was allowed to stay with my daughter throughout the procedure. Each step was explained as the procedure took place. I was very impressed and felt comfortable with the whole process. What a caring group. I will not hesitate to go to them if I ever have issues with my veins. Thanks so much for taking care of my baby!

— Renee K. 05/24/2022

Patient Review

I showed up on the wrong date for my six-week follow up appointment and instead of having me return, they were so gracious and fitted me in. Tasha, the ultrasound technician was so kind to a[…]

I showed up on the wrong date for my six-week follow up appointment and instead of having me return, they were so gracious and fitted me in. Tasha, the ultrasound technician was so kind to agree. My doctor is Dr. Johnson, who us wonderful but I also got to meet Dr. Rahao for the first time. He is one of the kindest doctors I have met. Hands down, I would recommend this facility over and over. The staff must be happy working there because it spills over to the patients.

— Juliet C.

Patient Review

Can not express how thankful I am for finding Dr. Rao. Wish I would have found him 3 years ago. Three years of being in pain why had the many of doctors I went to before him not tell me that[…]

Can not express how thankful I am for finding Dr. Rao. Wish I would have found him 3 years ago. Three years of being in pain why had the many of doctors I went to before him not tell me that it could be a vein problem? So so thankful that I was recommended to him by a friend. His office staff in the Brenham office are all so professional and friendly and seem to really care about me. Thank you, Dr. Rao!!!!

— Tammy E.

Patient Review

I highly recommend anyone suffering with varicose veins to come to Texas Vein & Wellness Institute. The staff is wonderful! 😃 made me feel calm and comfortable while I was being prepp[…]

I highly recommend anyone suffering with varicose veins to come to Texas Vein & Wellness Institute. The staff is wonderful! 😃 made me feel calm and comfortable while I was being prepped. Dr Johnson walked me step by step during the procedures. Everything came out great. Recovering and legs are feeling much better. Thank you

— Jesus J.

Patient Review

Many thanks for your professionalism, kindness and care during my three surgeries in February and follow up visits. Your friendly and relaxed office helped make the vein removal surgery comf[…]

Many thanks for your professionalism, kindness and care during my three surgeries in February and follow up visits. Your friendly and relaxed office helped make the vein removal surgery comfortable. All the best to you and your kind staff in the future.

— K. H.

Hand Veins
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