Enlarged hand veins occur naturally with age. For some, they present more of a sign of aging than changes in facial skin. They are normal veins that simply become visible due to the thinning and relaxing of the skin. They aren't considered diseased, as is the case with varicose veins in the legs, however the highly exposed nature of these veins are both unsightly and leaves them open to injury.

Hand veins aren't usually associated with pain, however, most people want them treated for cosmetic reasons. Hand veins can be treated in a similar fashion as varicose and spider veins, using ambulatory phlebectomy or sclerotherapy.

If the veins are removed, there may be swelling in the fingers for a period of 2-3 weeks, however, the results are immediate. After the swelling subsides, it does not return.

Sclerotherapy requires that the patient wear compression gloves for two weeks after the surgery to maximize results. Blood may remained trapped in the treated veins after this two week period. This is normal, and can be easily remedied by removing the blood via a needle, leaving excellent results.