Is the presence of prominent hand veins a sign of a health problem? Why do hand veins become prominent? Why are hand veins prominent?

Noting that having prominent veins in the hands does not cause a health problem, Cardiovascular Surgery Specialist Prof. Dr. Semih Barlas said that if a person wants to get rid of this situation with aesthetic concerns, these veins can be made invisible with a simple procedure that does not require anesthesia.


Frequently, the focus of cosmetic procedures is the facial area. Hands, which are an indicator of advancing age, are often overlooked. In general, the number of individuals who want to get rid of the vein images on their hands is much lower than those who want to have aesthetic treatment on their faces or bodies. As the skin gets thinner with age, there are some changes in the hands and arms. These changes can be listed as follows: The elasticity of the skin and vascular walls, subcutaneous fat, collagen and the water content of the tissues are lost. At the end of this, the veins in the hands and arms (‘veins’) become apparent. The veins on the hand start to look like ‘cables’. These veins appear thicker and fuller as they exercise and carry weight.


Although the veins in the hands and arms emerge with age, most of the people who complain about the presence of these veins are young and middle-aged women. This group consists of people who are generally thin, who do serious sports to protect their body structures, weight trainers. Lack of fat under the skin, exercise, and especially weight lifting, can make the veins in the hands and arms even more noticeable. With exercise and weight training, our arm muscles harden and their diameters expand. This pushes the veins towards the skin surface and makes them more prominent.


The veins that we see in different diameters from thin to thick in the leg are usually varicose veins, which is a symptom of a vascular disease called ‘venous insufficiency’. However, the veins we see in our hands and arms are not sick, but normally functioning veins. Therefore, their presence does not cause a health problem. Visible veins in the hands are the vessels used during hospitalization, serum / drug administration, during surgery. For this reason, their destruction is not an approach that can be recommended to everyone. On the other hand, since these veins are not the main (deep) veins in the arm, their removal does not cause a health / circulatory problem. What is important is the correct selection of patients who experience ‘visual disturbance’ from the presence of these vessels, evaluating the positive, negative aspects and expectations before starting treatment, and leaving a few in place during the treatment process.


The most commonly used treatment to eliminate unwanted veins in the hand is the superficial foam sclerotherapy method, which is also used in capillary varicose veins in the legs. During this procedure, the relevant vein is entered with a very thin needle. The foamy mixture obtained by mixing vascular constricting drug, carbon dioxide and oxygen is administered intravenously. No anesthesia is required. Only the needle entry is felt. When the drug is given, the vascular line first turns white and then gradually thinks and disappears. This disappearance period varies between 2-6 weeks depending on the diameter of the vein. At the end of the procedure, reopening of the vein is prevented by wearing a special pressure glove or a wrapped elastic bandage. Depending on the number of vessels to be intervened, the foam sclerotherapy process takes 15-60 minutes. At the end of the treatment, one can return to normal life, drive a car and do sports provided that 48 hours avoid lifting weights. More than one session may be required to achieve the desired goal. Session intervals should be at least 7-10 days.

The success rate of the procedure is 97.8%.

Foam sclerotherapy method applied to veins in different parts of the hand, legs, face and body, FDA etc. It is a method that has been approved by the supervisory authorities and has been used for a long time. Different studies have reported a 97.8% success rate with hand-applied foam sclerotherapy. When the vasoconstrictor is given pure, mixed with carbon dioxide and oxygen and then foamed increases the effectiveness of the method. The substance called ‘foam sclerosing’ contacts the vessel wall for a longer time, and the side effects are reduced as the drug is diluted.

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