If your surface level veins have become dilated, bulging, or twisted, you may be experiencing varicose veins. Heredity factors or family history, pregnancy, trauma, prolonged standing or sitting, age and obesity can cause these unattractive veins. Varicose veins are usually progressive, meaning that in most cases, they get worse over time if left untreated. Luckily there are treatment options available to reverse vein disease and the appearance of unattractive, bulging varicose veins.