Prominent veins in the hands can make them look substantially older, which can age you. What happens is over time skin loses its elasticity and the back of the hands lose their soft tissue volume. The tendons and veins become more noticeable. Areas of skin which receive a lot of sun exposure, such as the hands, tend to show signs of sun damage and aging more quickly. These bulging veins near the surface of the skin can be treated with vein removal or Sclerotherapy. An additional option to improve the appearance of the hands is filler injections into the back(dorsum) of the hands. This restores the volume minimizing the appearance of hand tendons and veins. If your surface veins are cosmetically bothersome, it is safe and easy to treat them. This is done in the office setting with no down time.