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Our Vein and Skin Blog

What Causes Varicose Veins

Dr. W. Y. Chung, MD - Friday, January 19, 2018

The human body is comprised of a series of “highways” that carry blood to and from your heart.  Arteries carry blood from your heart while veins return blood to your heart.  This circulation provides blood to all of your functioning organs.  

The walls of the veins are similar to elastic, and small valves within the vein open to allow blood to flow toward the heart. They also close to keep the blood from flowing back into the vein.  This pumping effect occurs through muscle contractions in the legs. 

Varicose veins are essentially small pools of blood that have formed in the veins causing the vein to get larger.  They are caused by weak valves within the vein preventing the blood from moving forward.  They are blue in color because they have deoxygenated blood inside.

The malfunctions of these valves, within the veins are caused by numerous situations.  Age is one primary cause due to the elasticity of the vein weakening as we get older.  Pregnancy may contribute to varicose veins due to a decrease in blood flow to the legs and pelvis area, and pressure being placed on the veins in your legs. 


Hormonal changes can also contribute to varicose veins. Women tend to be more likely to develop varicose veins.  Hormone replacement therapy can cause varicose veins.  Family history can make a person more likely to develop varicose veins.  Obesity or being overweight adds pressure to veins which can cause varicose veins.  Standing or sitting for extended periods of time can affect your blood flow which can cause varicose veins. 

Varicose Vein Complications
Sometimes, varicose veins can lead to painful ulcers forming around or near varicose veins, especially in the ankle area.  These ulcers can be caused by a fluid formation in the tissue area.  Blood Clots can form and when the area swells it can indicate the present of a blood clot, a very serious situation. 

Vein and Skin Center of Hawaii
Most varicose vein conditions are easily treatable.  The Vein and Skin Center of Hawaii offers state of the art treatment for varicose veins.  Our medical staff is trained in the minimally invasive treatment of eliminating varicose veins.  Learn more...

Hawaii Vein, Varicose Vein TreatmentHonolulu-based Hawaii Vein offers the most advanced techniques available to personalize surgery treatments such as laser liposuction, acne/skin therapy and tattoo removals with fascinating results.

The Secret to Youthful Skin... That Nobody's Talking About

Dr. W. Y. Chung, MD - Tuesday, January 09, 2018

What if you could look years younger and more well-rested without the hassle and complications of facelift surgery?  Well, according to Dr. W.Y. Chung, the answer has arrived. 

Chung, founder of the Skin and Vein Center in Hawaii, has been using Juvéderm VolumaXC, as part of  the VolumaLift™ procedure, which promises to plump the skin and restore volume to help make clients look years younger.
The entire  VolumaLift™ procedure runs about 15 minutes. First, Chung punctures the skin with a needle, then he uses a blunt-tip microcannular for injecting the gel. Unlike a sharp-pointed needle, this reduces the risk of puncturing any major blood vessels.  Using his hands, Chung then manipulates the newly inserted gel, building and shaping the area like clay. The results are instant, and look so natural, that some of Chung’s clients say that they don’t even tell people they’ve gotten the injection. “ "I'm just going to tell people I got a lot of rest” , said one Hawaiian Realtor.
Juvéderm VolumaXC, an injectable filler made by Allergan, and the first FDA-approved filler to add volume to cheeks, has been clinically proven to last up to two years- more than double the life cycle of current fillers. Formulated with the local anesthetic Lodocaine ,it’s said to be less painful than a flu shot, with only minor complications, such as bruising, redness and swelling, being noted.
Costing about $1000 per injection, with one injection recommended per cheek, the cost is pretty minimal compared to more invasive procedures. It’s really no wonder that Juvéderm VolumaXC has already become the number one injectable in Canada and Europe. Learn more at the Fashion Tribe.
Would you or have you used Juvéderm VolumaXC? Let us know what you think in the comments below.

Honolulu-based Hawaii Vein offers the most advanced techniques available to personalize surgery treatments such a laser liposuction, acne/skin therapy and tattoo removals with fascinating

Get A Flawless Complexion With Lasers

Dr. W. Y. Chung, MD - Saturday, December 16, 2017

laser skin resurfacing
We know you probably regularly care for your skin, but sometimes it just doesn’t cut it. No matter how many times you apply anti-aging serum it simply can’t reverse all wrinkles or age spots. So, let lasers do the work your skin care routine can’t. Here’s advice from Dr. Garth Dicker, Cosmetic & Laser Medical Centers, to get a flawless complexion.

What Does A Laser Do?

Dr. Dicker explains how laser work, “Essentially a laser works by producing a single and specific wavelength (or color) of light. When this light is concentrated it produces head which can then be used to specifically target structures in the skin.” Some lasers eliminate melanin, which will remove the brown spots on skin or hair follicles aka laser hair removal. Depending on a lasers wavelength they can also remove rosacea, broken capillaries, blood vessels, and acne scars.

Laser Skin Resurfacing

Resurfacing will reduce fine lines to smooth your skin. It targets your skin’s text rather than pigmentation. Dr. Dicker comments, “Laser skin resurfacing is when a laser device is used to produce a smoother and younger looking skin surface.”

Ablative vs. Non- Ablative Treatments

Both ablative and non- ablative treatments are types of laser skin resurfacing. Dr. Dicker explains how the two differ, “Ablative referee to removing the surface layer of skin whereas ‘non-ablative’ refers to not removing the surface layer of skin. Ablative treatments can give faster results, but the flip side is that there is more downtime and a greater risk of complications.” Fractional ablative treatments have quickly been adopted by users as is reduces downtime by limiting the amount of skin being removed.

The Best Laser For You

One treatment may work wonderfully for someone else, but is completely wrong for your skin type. When considering a laser treatment always consult a professional to get the best results for your skin type. Always research experience, education, and look at their past work. 

Innovative Skin Treatments

One of the most innovative aesthetic laser technology is Cynosure. Their technology has produced lasers like Picture Skin Revitalization and Revile Q-Switched.

Picosure Laser

If you want to eliminate wrinkles, acne scars, or pigmentation issues Picosure is the best option. 
This laser produces youthful, clear skin without taking a lot of time out of your normal routine.

5 Questions to Ask Before Cosmetic Surgery

Dr. W. Y. Chung, MD - Wednesday, December 06, 2017

skin care

There are various options for cosmetic surgeons and it can seem overwhelming. We have you covered. Asking the right questions will educate you on your procedure so that you are confident in your surgeon’s hands.

Here are the questions that will set you up for success and achieve your cosmetic goals.

Let’s See That Resume

Brace your self for the ugly truth; any licensed physician can legally perform a cosmetic procedure. Sure you can change my appearance without any training at all. No thanks! A board certified physician is the best option because they have training, experience, and expertise in cosmetic surgery. So when you’re in a consultation ask,

“Are you certified by a cosmetic surgery board?”

The Right Man or Woman For The Job

Most cosmetic surgeons have specialties like skin rejuvenation. Highly consider a surgeon who specializes in the treatment you want because unlike other surgeons they have worked on a variety of patients and they are they are familiar with the most current techniques.  Be listening for evidence of expertise when you ask,

“How often do you perform the procedure I want?” cosmetics

Quick tip: Take a look at this physician’s before and after photos to see if you like his or her aesthetic style.

It’s Going Down For Real
Your procedure could involve anesthesia especially if it’s a cosmetic surgery. Ask your surgeon,

“Who will provide my anesthesia, and what type will I be getting?”

It is vital, no pun intended, to know who will be providing anesthesia to know if qualified professionals are monitoring you. With your anesthesia taken care of your surgeon can concentrate on your surgery. The team caring for your anesthesiology needs should be licensed, trained, anesthesiology professionals like a certified registered nurse anesthetist (CRNA).

Wait, I’m Not Ready for Transformation Tuesday

Bingo! Surgery should not be taken lightly and you need time to recover, so you won’t be able to post your after picture right after surgery. You’ll be ready to share your transformation with everyone in due time, but how do you know when you can? You guessed it, the next question you need to ask:

“What will my recovery look like, and in what time frame will I fully recover?” cosmetic surgery

Depending on the complexity of the surgery you could be banned from normal activities for a couple days up to a few weeks. The discussion with your physician should cover what specific precautions and physical limitations you will experience. If you’re feeling any amount of anxiety about this portion consider a less invasive surgery that can help you start reaching your goals.

Check Please

The truth is you will be paying all of the fees associated with your surgery because cosmetic surgery is elective. This includes surgeon’s fees, anesthesia, operative room expense, and any extra materials for your specific surgery. Your surgeon should be able to provide you with a quote that you can use the next month to think about and weigh your options. Find the total of your quote by asking,

“Can I get a quote for the total of my procedure?”

Quick tip: Cosmetic surgery is not a time to be bargain shopping. Any offer that sounds too good to be true probably is.

These five questions will help you find a qualified doctor that actualizes your cosmetic goals while assuring your safety. Make sure you address all of these key questions and feel free to incorporate your own questions that suit your unique procedure. Start your consultation confident you will find the right cosmetic surgeon for you.   Hawaii Vein The Vein & Skin Center of Hawaii
Honolulu-based Hawaii Vein offers the most advanced techniques available to personalize surgery treatments such as laser liposuction, acne/skin therapy and tattoo removals with fascinating results.  Contact us today and schedule your complimentary consultation for evaluation by Dr. Chung. We will tailor a personal treatment plan especially for you! Call Us! (808) 949-8346

Botulinum Toxin A Provides New Cosmetic Surgery Usage

Dr. W. Y. Chung, MD - Thursday, November 16, 2017

botox injection
Come on, you haven’t heard of Botulinum Toxin A.  You know you haven’t.  I mean, we hadn’t even heard of it until reading this news article over at Community Advance Web today.  Then again, we’re not practicing plastic surgeons.  But, yes, Botulinum Toxin A is pretty much a protein and neurotoxin, or more commonly referred to as Botox (ah, there’s the ticket).

For years the toxin has been applied to a variety of medical applications: to treat vocal cord spasms to lower back pain to even assist with urinary incontinence.  But now it’s being applied to new uses, such as a “Non-Surgical LIFT” aka as a face sculptor. 

Injections are made to lift eyebrows to make eyes look larger, to upturn noses and – let’s say you have a smile that shows too much of your gums – well, with this new Botox treatment your lips can be upturned at the corners to give you a more amiable smile.

If you suffer from excessive sweating (be it in the face, scalp, palms, etc.) the toxin can treat the condition.  If you suffer from oily skin and/or acne, you could benefit from it too.

Respected surgeons like Hawaii Vein, who deal in laser liposuction and even tattoo removal, are now adapting the toxin to fit their services.

To learn more visit Community Advance Web.

Are you considering Botulinum Toxin A treatment?  Or are you under treatment now?  Share with us your experience.  

Honolulu-based Hawaii Vein offers the most advanced techniques available to personalize surgery treatments based on individual needs.

Is Your Work Causing Your Varicose Veins?

Dr. W. Y. Chung, MD - Friday, November 03, 2017

Varicose Veins

There are certain heredity and lifestyle choices that may be a big cause for troublesome varicose veins. The line of work your in is one of the lifestyle choices that correlate with worsening vein issues. If you are standing for long periods at a time like a teacher or nurse would then you are more likely to develop varicose veins. The opposite is just as true, a desk job where there is prolonged sitting will also increase your susceptibility.

There are certain heredity and lifestyle choices that may be a big cause for troublesome varicose veins. The line of work your in is one of the lifestyle choices that correlate with worsening vein issues. If you are standing for long periods at a time like a teacher or nurse would then you are more likely to develop varicose veins. The opposite is just as true, a desk job where there is prolonged sitting will also increase your susceptibility.

Where Are Varicose Veins Found?

They’re most often found on legs, particularly on the back of thighs, calves and around knees. They usually visible above the skin, will have a purple hue, are swollen and cord-like.

Sometimes varicose veins are not found, but felt. They can cause symptoms such as cramping, swelling, pain, or a heavy and restless feeling.

What Can You Do To Prevent Varicose Veins?

Stay Active

Don’t let yourself sit or stand for long periods of time. You should be moving around to improve circulation, which in turn will strengthen your veins. Not only should you decrease the length you sit or stand, but you should get regular exercise. Walking and running are great choices because they focus on your legs. Swimming is also an exercise you should consider adopting because it is low impact.

Varicose Veins Treatment

Keep Diet In Mind

Naturally, the more weight the more pressure you are putting on your legs. Make sure to manage your weight to increase your blood circulation and decrease your likelihood of forming varicose veins. Try to maintain a low-salt and high fiber diet.

Increase Circulation At Work

Most people aren’t going to quit their job because it increases the risk for varicose veins. Instead, adapt and be mindful of your activities. Make sure to not cross your legs for long amounts of time and elevate your legs whenever you can. If you have to be on your feet then try to shift your weight continually. If you are at a desk job intentionally move around every 30 minutes, walks are very helpful as well.

Varicose Veins

Get Compression Socks

Compression socks are very helpful when combating varicose veins. Make sure you avoid right clothes and high heels for long amounts of time. Lower heels may actually be helpful as they will tone calves and increase blood circulation.

If you have varicose veins and want to remove them then consider getting one of the following: sclerotheraphy, endovenous laser therapy, or a phlebectomy. Consult a professional to find the best solution to your personal needs.



Call (808) 949-8346 or Email


Varicose Veins and Age

Dr. W. Y. Chung, MD - Friday, October 27, 2017

Varicose veins are a very common condition. Twenty-five percent of women and eighteen percent of men can expect to get them in their lifetime. Varicose veins are often located in the legs. Some are raised enough to be felt under the surface of the skin. Age is a factor. You are more likely to develop varicose veins once you pass forty. As we age, the vessel walls weaken and become less elastic causing the blood to pool, which in turn causes swelling. 

The veins expand to accommodate the increased blood flow and become lumpy and twisted. These blue, or purple veins have a gnarled appearance and most people consider them a cosmetic nuisance. But for some, varicose veins can actually cause discomfort and even pain. In certain instances, varicose veins are more than just a nagging problem. They can be an indication of a more serious underlying condition such as a blood clot in a deeper vein.

What You Can Do if You Have Varicose Veins

There are ways to alleviate the discomfort varicose veins can cause. Exercise, for instance, can get the blood flowing more smoothly. Since standing for long periods can cause varicose veins in the first place, it serves to reason that elevating the legs can help ease some of the pressure on overly-taxed blood vessels.  To relax your achy limbs, consider propping your legs atop a pillow while resting on the couch. Wearing compression stockings can help keep the veins from weakening further. Compression socks or stockings are made from elastic material which can feel quite snug. It is this tightness which squeezes the leg and forces the blood to flow rather than backing up. Though all these measures can help ease some of the issues associated with varicose veins there is a permanent solution which may allow you to dispense with those restrictive garments or having to elevate your legs when you would rather be doing something else.

Consider a Permanent Solution

Varicose veins can be removed through a process called sclerotherapy. With sclerotherapy a saline solution is injected into the problem vein to shrink it. Sclerotherapy boasts a high rate of success. This is a safe and efficient method which has been around for over a century and a half, a testament to its effectiveness. The procedure usually requires less than an hour of your time and you can return to your normal routine immediately.  A patient may feel some slight discomfort after the procedure such as, a slight burning sensation, but this feeling should quickly fade. Pressure bandages may be applied or the patient may be advised to wear compression stockings for a short period afterward. Side effects are usually minor.

Even people without symptoms should consider getting them removed as a preventative measure. Varicose veins can worsen over time, especially if you don’t modify your habits such as, standing or sitting for long stretches of time. Call our Hawaii center for a consultation. We are specialists in the care and treatment of varicose veins.

Honolulu-based Hawaii Vein offers the most advanced techniques available to personalize surgery treatments such a laser liposuction, acne/skin therapy and tattoo removals with fascinating

Wrinkle Treatments with the Fewest Complications

Dr. W. Y. Chung, MD - Wednesday, October 11, 2017

Wrinkle Removal - Vein and Skin Center of Hawaii

According to recent publications, cosmetic procedures such as
Botox, fillers, and laser treatments have few adverse side effects and complications.

Botox is used for relaxing the area around the smile and any frown lines; fillers pump up sagging areas of the face; and laser treatments have been removing unwanted hair. These procedures are considered minimally invasive cosmetic treatments and any side effects were considered to be rare.

Information from a three-month period using results from 20,000 procedures confirms this data. Each site studied reported the procedures and complications to researchers. The research staff then contacted patients within 7 days of their treatments for information on complications or side effects.

Botox Treatment - Vein and Skin Center of Hawaii
At the close of the study there were 48 adverse events reported. No procedure was determined to be life threatening requiring hospitalization.

Those who had laser treatments reported 13 complications that included darkened skin or redness of the treated area. The Botox, and filler treated patients reported 25 complications, which were described as lumps, nodules, or skin darkening. The complications were expected to disappear with treatment.

Less than one quarter of one percent of the procedures studied had any adverse effect.

Any treatment can have side effects, but having a physician available to help manage them helps minimize the risk.

Vein and Skin Center of HawaiiHonolulu-based Hawaii Vein offers the most advanced techniques available to personalize surgery treatments such as laser liposuction, acne/skin therapy and tattoo removals with fascinating results.

SmartLipo Redefines Laser Liposuction!

Dr. W. Y. Chung, MD - Thursday, September 21, 2017

Smartlipo Liposuction Hawaii

New Procedure Melts Away Body Fat

A newer procedure for fat removal uses lasers to melt fat, and may one day replace the tummy tuck procedure.  It is minimally invasive, and has had great results.

It is much less risky than a surgical procedure and when it is used in conjunction with liposuction, this minimally invasive treatment provides the benefit of the production of new collagen that provides skin its tone and texture.  

It can also tighten the skin, producing no sagging. This procedure also allows the removal of more fat than the standard liposuction treatment. 


Related Article: Can Liposuction Give Men a Competitive Edge?

Laser Liposuction Using SmartLipo™
In the past, patients were unhappy with the sagging of their skin after the liposuction treatment, but this new procedure with a fiber optic addition can result in much tighter skin. 

Smartlipo Liposuction Hawaii Surgical removal of abdominal sagging skin after treatment is no longer necessary, with the use of the SmartLipo.

Thermal heat energy melts fat and then the liposuction removes it from the body.  Fat bulk was significantly reduced using this new procedure, and the skin appeared tight. 

The laser is able to target energy to the fat, without causing affects to other tissue, providing for a speedier recovery from the procedure. 

Hawaii Vein and Skin Center of Honolulu Hawaii offers the most advanced treatment when dealing with body fat and non-surgical treatment.

SmartLipo is the number one choice when dealing with those areas of unwanted body fat, removal, and therapy. You can also read more at Science Daily.

 The Vein and Skin Center of Hawaii

The Vein & Skin Center of Hawaii

Honolulu-based Hawaii Vein offers the most advanced techniques available to personalize surgery treatments such as laser liposuction, acne/skin therapy and tattoo removals with fascinating results. 

Contact us today and schedule your complimentary consultation for evaluation by Dr. Chung. We will tailor a personal treatment plan especially for you! Call Us! (808) 949-8346

5 Skincare Tips Every Swimmer Should Use ASAP

Dr. W. Y. Chung, MD - Wednesday, September 06, 2017
Swimmer Skincare
Swimming is a great cardio yet non-impact workout, but is it bad for your skin? Are chemicals like chlorine actually harming your skin? Most swimmers have left the pool feeling like their skin is dry and that’s a good initial indicator that your skin doesn’t react well to it. Don’t nix swimming altogether; just follow a couple of skincare tips to restore your skin from the harsh chemicals in pools.

Why Does Chlorine Negatively Affect My Skin?

Before we get into the preventive measures to take, it’s important to know why your skin doesn’t prefer chlorine. Chlorine is needed to keep stagnate water safe for use, but in doing so it changes the pH levels in an unfavorable way. To keep pools safe the pH level should be around 7.3; however, your skin’s average pH is 5.5. Even as little as 5 minutes in the pool can make your skin more alkaline. People why naturally dry skin or dealing with issues like eczema will notice the affects of chlorine more.

Pool Pro Tip 1:

When it comes to applying sunscreen in the pool all skin types are created equal. Apply sunscreen lotion that is made specifically for dry skin. Granted in the summer you don’t want to be feeling greasy or oily, but those oils will act as a barrier against the chlorinated water. A fail proof plan is to look for sunscreens labeled water resistant. Those are created to resist water from penetrating the skin with heavy emollients.

Pool Pro Tip 2:

If you are an indoor swimmer or swimming when you aren’t exposed to sun then make sure you have another oil on your skin that will seal it to keep water out.  You can sue a few drops of pure jojoba oil to keep your skin from getting dehydrated.

Pool Pro Tip 3:

Once you get out of the pool you should immediately shower. The longer you wait the less effective your oil barrier will be and your skin will probably feel dry. Skincare Tips

Pool Pro Tip 4:

The next step is restoring your skin’s pH levels by applying an alcohol-free toner after you’ve cleansed your face. Once you’ve done that moisturize your face to seal the properties of the toner. If you want to go the extra step you can add a serum with hyaluronic acid after the toner and before your apply moisturizer.

Pool Pro Tip 5:

Give your skin some extra TLC with a hydrating mask. Get the right mask for your skin type and its specific needs.

Now you might think that you get a free pass if you swim in a saltwater pool. They have been advertised to think that they are better for your skin, but they still can use chlorine and will dry out your skin. No matter what pool you swim in keep your skin protected from dehydration and restore it once you’re out.



Call (808) 949-8346 or Email