How to get rid of large veins on the back of my hand

Updated July 18, 2017

As we age, losing the fat tissue in our hands, along with the thinning elasticity of our skin, makes the veins in our hands more prominent. Even though more people today are having cosmetic procedures performed on their faces to look younger, their ageing hands are giving away their true age. There are things you can do to remove unattractive, bulging veins from your hands. Three procedures used today include schlerotherapy, laser ablation therapy and plastic surgery.

Have your hands examined by a vein specialist or plastic surgeon. Some of the prominent veins in your hands are normal veins and are not varicose or diseased. But some of the veins on the surface of your hands can be removed safely through vein therapy or surgery. After exploring your options, your doctor can help you decide which treatment would be best for you.

Consider hand vein schlerotherapy as your first option. This is the easiest, least invasive and least costly of the procedures used to remove unsightly hand veins. Sclerotherapy is performed by injecting small amounts of a sclerosing agent into the vein, just under the skin. When this is done, the vein collapses, dies, and is naturally absorbed back into the body. A few sessions of 30 minutes each will be necessary. You may experience very slight pain and bruising, and mild hand swelling may occur for a few days after the procedure. A compression bandage must be worn for two days following each session.

Consider having laser ablation therapy next. This is a procedure in which a laser attached to the end of a wire is threaded into the hand vein. The wire is pulled out slowly as the laser heats up the vein, causing it to collapse much as it does with schlerotherapy. The vein will die and disappear over the next few weeks. You should only need one session to complete the process. A compression dressing is put on the hand to decrease swelling and keep the vein lying flat.

Consider having the last option, plastic surgery. In some instances where schlerotherapy or laser ablation is used, blood can remain in the vein, requiring a needling procedure to remove it. Some people would rather have the veins surgically removed completely with surgery. One consideration is that nerves surrounding the veins can be damaged during the surgery, leaving you with some numbness or a pins-and-needles feeling; this should improve over several weeks. You will also experience marked swelling of the hands and fingers, which should subside after about two weeks.


Always seek treatment advice from a trusted or well-recommended medical practitioner.

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About the Author

Jacqueline Trovato is a published writer with more than 25 years' experience in marketing communications and public relations. She specializes in health care communications. She holds a Bachelor of Science in education with a minor in psychology from James Madison University.