Prominent hand veins occur most commonly on the top (dorsum) of the hand — and for many women, they are one of the most distressing visible signs of aging. Most men are not particularly bothered by them; for women, they can be deeply upsetting. The veins themselves were always present, but with age comes loss of the fat and connective tissue that once covered and surrounded them — leaving them increasingly visible. The bluish or purplish hue these veins impart, combined with the thinning skin overlying them, produces an appearance characteristic of aged hands and disconnected from the youthful results patients often have invested in for their face and body. Dorsal hand vein removal is an effective and definitive treatment — a minimally invasive surgical procedure performed through 2-3 mm incisions over the veins. Once the targeted veins are removed, they do not come back. At Los Angeles Plastic Surgery, Dr. John Anastasatos performs dorsal hand vein removal with the depth of training this anatomically delicate procedure specifically requires.

Dr. Anastasatos performs dorsal hand vein removal with the most directly relevant academic credential possible: he completed a fellowship in Hand and Upper Extremity Surgery and Microsurgery at the University of Alabama at Birmingham — formal subspecialty training in hand surgery that few cosmetic plastic surgeons possess. Dr. Anastasatos was profiled by the Beverly Hills Courier in a feature titled “Anastasatos turns Body Restoration into art form” — a profile reflecting his reputation specifically for refined aesthetic surgical results. He has been an invited lecturer at the Royal Society of Medicine in London on advanced surgical techniques, with an invited 2026 return as featured speaker. With over two decades of facial and hand surgical expertise in Beverly Hills since 2007, he is board certified by the American Board of Plastic Surgery, a Fellow of the American College of Surgeons (FACS), a member of the American Society of Plastic Surgeons (ASPS) and American Society for Aesthetic Plastic Surgery (ASAPS), and named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World.

Why Dorsal Hand Vein Removal Works

The procedure works because the hand has an abundance of veins for proper drainage and function. Removing certain selected veins poses no risk to hand circulation or function — many other veins remain intact to handle drainage. The challenge is precision: identifying which veins to remove, accessing them through minimally invasive incisions, and producing a refined aesthetic result without damaging adjacent structures. This is why the procedure requires great expertise. A board-certified plastic surgeon with hand and microsurgery fellowship training is uniquely qualified to perform these operations.

Procedure and Recovery

Dorsal hand vein removal is performed as a minimally invasive outpatient procedure:

• 2-3 mm incisions placed over the targeted veins
• Selective vein removal — only specific veins are removed, with the abundance of remaining veins preserving normal hand drainage
• Permanent results — once removed, the targeted veins do not return
• Outpatient procedure — patients return home the same day
• Restored youthfulness — the hands return to a more youthful appearance, with veins no longer dominating the surface

Combining With Other Hand Rejuvenation

Dorsal hand vein removal can be performed as an isolated procedure or as part of comprehensive hand rejuvenation. Common combinations include:

• Fat transfer to the hands — restoring lost volume so that remaining veins are also less visible
• Chemical peels — addressing pigmentation alongside structural correction
• Radiesse filler — adding volume support to the back of the hand
• Wrinkle reduction treatments — addressing skin texture concerns alongside vein concerns

For patients seeking comprehensive hand rejuvenation, combining vein removal with fat transfer often produces the most dramatic transformation.

Schedule a Dorsal Hand Vein Removal Consultation in Beverly Hills

Dr. Anastasatos welcomes patients to the Beverly Hills office at 436 North Bedford Drive, Suite 202, Beverly Hills, CA 90210, for a private consultation evaluating your hand anatomy and discussing the appropriate vein removal approach. Contact Los Angeles Plastic Surgery to schedule your appointment.