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Hand Vein Treatment

isolated hands holding each other against white backgroundAs 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. 

Dr. Kapusta brings his triple board certification expertise and experience to improving the look of the veins on your hands. He typically uses sclerotherapy, but for larger veins may use other treatments.

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Why are veins showing on the backs of my hands?

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 down. 
  • 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?

Senior female typing on laptop keypadThe 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 Dr. Kapusta removes these veins. The backs of your hands become much smoother younger looking.

Who is a good candidate for hand vein treatment?

If you have bulging, exposed veins on the backs of your hands, odds are you are a great candidate for treatment with Dr. Kapusta. 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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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. Some larger veins may need laser ablation or microphlebectomy. You can read about all three of these treatments in more detail on these pages on our site: Sclerotherapy, Laser ablation , Microphlebectomy

Here’s a brief overview of how Dr. Kapusta performs all three treatments:

  • Sclerotherapy — In this simple treatment, Dr. Kapusta 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. 
  • Endovenous laser ablation — Here the area above and around the unwanted vein is locally anesthetized. Then Dr. Kapusta inserts a thin laser fiber into the vein. The laser is pulsed, and the light energy converts to heat. This heat makes the vein walls collapse. The laser fiber is pulled down the length of the vein until the entire unwanted visible vein is gone. 
  • Microphlebectomy — As with laser ablation, the area is locally anesthetized. Next, Dr. Kapusta makes a tiny incision on the surface skin of the back of the hand. These incisions are so small (basically the size of a ballpoint pen tip, 2-3 mm) they do not require sutures to close. Through these incisions, Dr. Kapusta then inserts a small surgical hook. He grasps the unwanted vein and pulls out a section. Because the vein collapses, it can easily be drawn out through the tiny incision. This is repeated on remaining sections down the vein until it is completely removed. 

Before & After Hand Vein Treatment

Before & After Hand Vein Treatment 1
Before & After Hand Vein Treatment 2
Before & After Hand Vein Treatment 3
Before & After Hand Vein Treatment 4
Before & After Hand Vein Treatment 5

Is there recovery after hand vein treatment?

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. 

Will my hand veins reappear after treatment?

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. Obviously, in cases of microphlebectomy, the vein is physically removed, so it too is gone for good. 

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

How do I prevent leg ulcers?

Leg ulcers are often caused by venous insufficiency and poor circulation through one or more veins in the feet or legs. Physical activity is a primary method of prevention. This is especially beneficial for patients who are overweight or have a medical condition such as diabetes. Exercise need not be strenuous to be good for vein health. A daily, 30 to 45-minute walk, or even several short walks throughout the day, can help prevent the conditions that contribute to leg ulcers. 

Additional preventative tips include:

  • Avoid smoking and tobacco use.
  • Limit sodium intake.
  • Stay abreast of cholesterol, blood pressure, and blood sugar and receive the necessary medical assistance to manage these conditions.

What are the signs of a wound infection and how is it treated?

leg ulcersThe signs that a leg ulcer has become infected include pain, redness, fever, and the appearance of pus in the wound itself. These symptoms warrant a consultation with a primary care physician or vascular specialist. Here at the Vein Center Houston, we work together with patients to discover the cause of their leg ulcer and develop a treatment plan around that cause and their unique needs. 

The objective of leg ulcer treatment is to expedite the healing of the wound and to relieve pain as quickly as possible. The doctor may recommend one or more of the following:

  • Topical wound care therapies
  • Antibiotic treatment 
  • Compression garments
  • Anti-clotting medication to prevent a blood clot

Patients may be instructed to treat their wounds at home with steps such as:

  • Maintain clean, dry skin around the wound
  • Apply or take medication as directed by the physician
  • Change dressings regularly as directed
  • Wear compression garments if directed to do so
  • Exercise as instructed by the physician

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What Happens If Leg Ulcers Go Untreated?

It is imperative to receive proper care to address and manage leg ulcers. Without it, the wounds may become infected. The infection that begins in the skin can spread to the bone or to the bloodstream. The initial tissue infected may necrose, or die, requiring reconstructive surgery. The process of treating leg ulcers is relatively simple and very much worth the investment of time. 

What are the immediate signs of leg ulcers?

Ulcers are not always painful and obvious. It is important to look for the subtler signs of this treatable condition. These signs include itching and burning, dry, scaly skin, redness, or a rash that doesn’t seem to resolve on its own. 

What Happens After My Leg Ulcer Treatment?

There may be no special care instructions after leg ulcer treatment for some patients. For others, it may be necessary to perform wound care practices at home until the wound has healed and is no longer at risk of infection. Our patients receive very clear instructions that enable them to resolve leg ulcers as quickly as possible. If questions arise, patients are encouraged to contact our office right away to receive the support they need for optimal healing. 

Is There Downtime After A Leg Ulcer Treatment?

There are a few different ways to treat leg ulcers. Downtime is not usually necessary, although patients may be instructed in specific wound care remedies depending on the severity of their ulcers. In cases of vein treatment to remove the underlying cause of a venous leg ulcer, patients typically resume most normal activities right away. Mild to moderate physical activity is advantageous for venous function. 

How often do I need these treatments for my hand veins?

Teamwork and team spirit 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 Vein Center Houston are a better solution to unsightly veins on the backs of your hands.

Schedule Your Consultation Today!

Interested in learning more about treatment for unsightly veins in your hands? Call us at 713.349.8346 to schedule a consultation. Our practice serves Houston, Texas and nearby areas.

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11221 Katy Freeway Suite 115
Houston, TX 77079
West University
5585 Weslayan
St Houston, TX 77005
635 Medical Parkway
Brenham, TX 77833

The information on this website is for educational purposes only and does not constitute medical advice.

Vein Center Houston is proud to announce a merger with Texas Vein & Wellness Institute

To schedule an appointment or learn more please call us at 281-888-1464 or visit us at