Prof. Kittipan Rerkasem
Leg Vein Clinic Thailand
Many patients wonder: “Will my hand veins return after I’ve had sclerotherapy?” This article explains what causes hand veins, how sclerotherapy works, and how to prevent recurrence after treatment.
What Causes Prominent Hand Veins?
Most visible hand veins are superficial veins, responsible for returning blood to the heart. They become more prominent with age or loss of subcutaneous fat, especially in people who are slim, exercise a lot, or use their hands frequently.
Other contributing factors include:
– Aging and thinning skin
– Rapid weight loss
– Frequent heavy lifting or intense exercise
– Genetics
– Heat exposure (e.g., hot showers, warm climates)
What Is Hand Vein Sclerotherapy?
Sclerotherapy involves injecting a medication like polidocanol into the target veins. This causes controlled irritation of the vein wall, leading to its closure and gradual absorption by the body.
The process includes:
– Identifying suitable veins for treatment
– Injecting the solution with a fine needle
– Temporary warm or tingling sensation post-injection
– Elevating the hand afterward to minimize swelling
Image: show prominent hand vein
Will the Veins Come Back?
Veins that have been successfully treated do not return. However, new veins or nearby veins can become more visible over time due to aging, lifestyle factors, or changes in skin thickness.
Examples include:
– Further thinning of the skin
– Heavy use of the hands or frequent lifting
– Development of new capillary veins
Factors That Influence Recurrence
– Injection technique: Incomplete closure due to incorrect depth or diluted medication
– Post-treatment care: Excessive hand use too soon after treatment
– Aging and skin transparency
– Heat and exercise: Can cause new dilation of superficial veins
Typically, results last 2–5 years. If new veins appear, repeat treatments are possible and effective.
Image: Left – Before treatment, Right – 3 months after-treatment
How to Maintain Results After Treatment
– Elevate the hands frequently during the first 24 hours
– Avoid lifting heavy objects for 3–5 days
– Use moisturizing creams to support skin quality
– Avoid hot baths or saunas for 1–2 weeks
– Return for follow-up to assess closure or identify new veins
Conclusion: Will the Veins Return?
– Treated veins do not reappear.
– New veins may become visible over time.
– Results typically last 2–5 years.
– Proper technique and post-care improve durability.
Hand vein sclerotherapy is a safe, effective option for improving hand appearance, especially when performed by a qualified vascular specialist. Repeat treatments can be done safely if needed.