Hand microscerotherapy is a more complex procedure than treating leg veins, as this is an area where significant understanding of the anatomy is crucial. Carrying out any sclerotherapy procedure in these parts of the body should be carefully considered, and the BAS recommends that the treatment should only be carried out by a practitioner with extensive experience. Bulging hand veins, frequently caused by the loss of fat under the skin from ageing, can be treated very successfully with dermal fillers to add volume, and fillers should be the first line of treatment.
(Answered by Mr Philip Coleridge Smith)