Hand Rejuvenation

hand vein treatment before and after

Hand Rejuvenation With Sclerotherapy

While many people go to great lengths in an attempt to maintain a youthful facial appearance, they often forget about their hands. Unfortunately, veiny hands can easily reveal your age or make you look older than you are.

Large, bulging hand veins are normal and more of a cosmetic problem than a sign of a health concern. However, they are bothersome for many people and can cause insecurities about the appearance of their hands.

Fortunately, our skilled vein care specialists in Newport Beach can restore your youthful, beautiful hands with sclerotherapy.

What Causes Visible Veins on the Hands?

Workouts and doing activities with your hands can cause the veins to swell due to increased blood flow. However, this is usually temporary, and the veins return to normal once your blood pressure goes back down.

Others have veins that can be constantly seen through the skin. Dryness and consistent sun exposure can lead to lost collagen and elastin in the skin on the hands. These environmental elements combined with aging factors can cause thinning of the skin and a loss of fat beneath the skin’s surface. This results in a lack of youthful volume, and bulging or dilated veins can become visible through the skin on the backside of the hands.

Spider veins, reticular veins and varicose veins can appear on the hands due to disrupted blood flow or valve malfunctions within the veins. Spider veins look like squiggly red, purple or blue lines and are generally very thin. Reticular veins are slightly larger than spider veins and less windy. These blue or green dilated blood vessels sit just below the surface of the skin. Varicose veins are often larger, thicker and more prominent. The swollen blue or purple veins bulge and appear twisted through the skin.

How Can Sclerotherapy Rejuvenate My Hands?

Patients affected by visibly dilated or protruding veins on their hands can benefit from hand rejuvenation with sclerotherapy. This minimally invasive treatment is performed in our office with local anesthesia and can usually be completed in under an hour. Sclerotherapy is hands down one of the most effective treatments for hand veins.

During this procedure, a sclerosing solution is precisely injected into the targeted veins through a tiny needle. Once injected, the solution causes the inside walls of the veins to become sticky, and the veins collapse. The body then harmlessly absorbs the closed veins, and they disappear.

The sclerotherapy treatment process effectively removes visible veins from the hands.

Supplemental Technologies That Can Be Used With Hand Sclerotherapy


Cryo sclerotherapy (cryotherapy with sclerotherapy) involves the delivery of cool air to the skin of the treatment area as the sclerosing injections are performed. This technique numbs the skin and reduces discomfort in sensitive areas like the hands and ankles, making the treatment nearly pain-free. The bursts of super-cooled air also help reduce inflammation and speed healing time so patients can see their results faster.

Lights for Vein Mapping

For patients who have multiple small visible veins such as spider veins, we use specialized lights to find and target the feeder veins. Feeder veins are slightly larger damaged blood vessels that connect the visible veins to their blood supply, meaning they are the source causing the spider veins. Treating these main veins eliminates the smaller attached veins, reducing the number of injections needed.

Ultrasound-Guided Sclerotherapy (UGS)

UGS helps provide safer and more effective sclerotherapy treatments. The ultrasound technology can be used to identify the vessels with blood flow going in the wrong direction that may be causing visible veins in the hands. This technology maps the target veins and guides the needle into the vein, allowing for more precise control over the direction of the injection.

Ultrasound-guided sclerotherapy is often used for large varicose veins and smaller veins that develop or remain after endovenous laser ablation or vein stripping.

How Many Hand Sclerotherapy Sessions Will I Need?

It typically takes two sclerotherapy sessions to eliminate the visible veins on the back of the hands.

When Will I See the Results of Sclerotherapy?

It may take a few weeks for the treated veins to be absorbed by the body. Patients usually see their final results several weeks after their last sclerotherapy treatment.

Is Sclerotherapy Safe for Hands?

The veins in the hands respond very well to sclerotherapy and compilations are extremely rare, making this a very safe procedure. Fortunately, the hands tend to maintain good blood flow in the healthy veins once the damaged veins are removed.

While uncommon, the potential risks and side effects of sclerotherapy include:

  • Localized urticaria
  • Hyperpigmentation
  • Matting
  • Cutaneous ulceration
  • Deep vein thrombosis

Your vein specialist will review these with you in detail and answer any questions you may have.

Is Downtime Needed After Sclerotherapy?

No downtime or significant restrictions are required after sclerotherapy. Patients can immediately return to work and normal activities after treatment.

Who Should Perform My Sclerotherapy Treatment?

It’s important to choose a practice that specializes in phlebology for any vein procedure you’re considering. Phlebologists are extensively trained and experienced in diagnosing and treating venous disease, varicose veins and spider veins.

At California Vein Specialists in Newport Beach of Orange County, we’ve got all hands on deck. Dr. Leary has personally trained our team to provide the safest and most effective treatment of vein concerns.

Dr. Leary specializes in venous disease and is certified by The American Board of Venous and Lymphaic Medicine in phlebology and emergency medicine. He has successfully treated thousands of patients with vein concerns and is recognized as a leading vein specialist in Orange County.

Dr. Setareh is a board-certified physician with in-depth knowledge of the diagnosis and treatment of venous diseases. He provides exceptional results when treating varicose and spider veins with minimally invasive procedures.

Dr. O’Byrne is board certified in vascular medicine, venous and lymphatic disease, and internal medicine. She is also a registered vascular technician (RVT) and has extensive experience in the treatment of venous disease.

Mitra Forootan is a registered nurse (RN) with considerable experience in cosmetic sclerotherapy. She is dedicated to staying up to date on the latest technologies and techniques in the field of venous disease and aesthetic medicine.

Get Beautiful, Youthful Hands With Sclerotherapy in Newport Beach

Do you have unsightly hand veins you would like removed without surgery? Contact us for your vein exam with Calfornia Vein Specialists today. Call 949-515-9377 and learn how we can make your hand veins go away!

*Providing you with accurate medical information is one of our priorities. To ensure this, Dr. Leary reviews all the information posted on our website. Please get in touch with us today if you would like more information about any of the conditions we treat and the procedures we offer.

Before & After Photo Gallery

Success Stories

Review Us: