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True varicose veins of the arms and hands are actually very rare. Even when the arm and hand veins are very large and bulging, they are usually normal in the sense that they work normally. They may be caused by a DVT of the arm or by other rare medical conditions but usually the people I see who have prominent arm and hand veins have developed them simply as a result of getting older. You see, as we age, the backs of our hands lose collagen, the skin become thinner and it may also develop age spots or liver spots. Our hands can look much older than the rest of our body, with a bony appearance, big bulging veins and prominent tendons. Fortunately this is something that can be successfully treated. I use a combination of treatments that I call "Hand Rejuvenation". It's a combination of sclerotherapy, collagen stimulation and age spot elimination. I have developed a method of hand vein injections that I call "Gentle Sclerotherapy". It does not close off the veins completely - after all we need normal veins -- no it shrinks the veins and makes them return to a more normal size. Unlike other forms of sclerotherapy, compressions gloves are not needed. At the same time, I use collagen stimulator injections under the skin to restore normal volume and cryotherapy -- similar to wart treatment to eliminate age spots. The result is more youthful looking hands. Many vein specialists are very much against treating arm and hand veins, but at The VeinCare Centre not only do we treat hands, we also have developed a method of shrinking ugly arm veins with laser. Once again, the aim is not to remove the veins completely, but rather to shrink them to a more normal size