I’m really not.
For the record I edited out the shrug, because I thought it might be interpreted as me making light of your frustration, but it was meant in more of a “what are you gonna do?” At some point, every artist through the years has just had to bite the bullet and work carefully at some point when doing intricate detail, despite advances in technology.
I did suggest features and techniques that might be helpful to you. As I said, your “chore” doesnt sound that bad to me. I do that sort of thing often, and it doesn’t require the level of masking you seem to think it will. Far easier to smooth down strokes here and there after the fact, than worry about hyper accurate masking. Lazy Mouse in the stroke palette is your friend. Turn the lazy radius up into at least the high teens to increase the lead time and accuracy of the stroke. Make sure you’re working at high enough resolution to be able to make accurate, delicate strokes. Presumably you have a pressure sensitive tablet.
As you see here, Ive made a rough vein like subtool over a sphere of high enough mesh resolution to be able to sculpt fine detail. With lazy mouse on I make some smooth strokes. Notice how Zbrush has a natural aversion to sculpting under subtools, as is evident when I toggle that subtool off, and you can see the gaps in my stroke where it intersected the veins. This is without any masking at all. If I were working with lazy mouse, and zoomed in closely enough on a high resolution mesh, I doubt I would bother masking anything at all. Easier just to smooth down anything that goes amiss. Perhaps your situation is even more delicate, but the same principles apply with even high rez meshes, smaller brushes, and finer detail.

There are textural solutions with alpha masking you could try, to achieve the effect you want with some creativity, but no magic button , Im afraid. You could even start with a texture as a “roadmap”, and paint your vein displacment from that on a single mesh, so you’d always have that texture to derive a mask from. I could devote some time to thinking about your problem for you, but your attitude doesn’t inspire me to expend the effort. I’m sorry I dont have a better answer for you, and Im sorry I was the only one to answer your post.
Good luck with your project.