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Vein Treatment Blog

News and notes about various vein related issues, the latest technology and good advice on what you can do to avoid serious health related issues and to help you look your personal best.

The Importance of Healthy Veins

Dr. W. Y. Chung, MD - Friday, March 23, 2018

Did you know that your veins can go to pretty extreme lengths to maintain a functioning circulatory system? In fact, if you laid out all of the veins, arteries, and capillaries in your body, end-to-end, they would stretch approximately 100,000 miles! That’s a pretty long network of veins and valves in your body working together. 

While your veins carry deoxygenated blood back to your heart, they need the help of vein valves along the way. When these valves function properly, the blood in your legs flow unimpeded back to your heart and are circulated efficiently. The problem is that over time, vein valves can become weak and stop functioning for their intended purpose.

What Are Vein Valves?

Think of vein valves as the driving force of your veins. They help push the blood back toward the heart, and regulate your blood pressure.  If your vein valves are not functioning properly, blood may not be flowing toward your heart efficiently. When this happens, blood can get backed up behind the valve, and start to flow backward.  We refer to the backward flow of blood as a reflux, and it is a primary contributor to varicose veins. 

Related Article: What Causes Varicose Veins

Why is Venous Insufficiency Dangerous?

Venous insufficiency is a condition that may be caused by damaged vein valves, in which veins have difficulty sending blood from the legs back to the heart. When this happens, you may develop swelling, blood clots, or varicose veins on the surface. Such veins can be painful, and potentially dangerous as they may develop into ulcers. 

How You Can Maintain Healthy Veins

The best way to maintain healthy veins is establishing and maintaining a healthy lifestyle. Staying active and avoiding long periods of sitting or standing is crucial to promoting healthy vein function. Since strong leg muscles provide better circulation, walking, running, swimming, and cycling are great exercises to fend off the appearance of varicose veins and the dangers that come with them. 

In your down time, try stretching your calves and other leg muscles to get your blood flowing. You can also try elevating your feet above your heart at home, or wearing compression socks. Additionally, keeping a healthy diet also plays a pivotal role in proper vein function. You will want to maintain healthy blood pressure and cholesterol levels as they both affect blood pressure and vein health. 

The Vein & Skin Center of Hawaii Can Help

Most varicose veins are easily treatable, and the medical staff at The Vein and Skin Center of Hawaii is ready to help. We offer a variety of minimally invasive treatment options, and have helped countless patients. Whether you are looking to address those unsightly spider veins before summer, or your symptoms are more severe, you can rely on Dr.Chung and his team to deliver the results you're looking for!

Hawaii Vein

The Vein & Skin Center of Hawaii

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

Get Rid of Varicose Veins This Summer

Dr. W. Y. Chung, MD - Wednesday, March 07, 2018

spider vein treatment
Varicose veins affect both men and women with twenty five percent of woman and eighteen percent of men that are affected by them. Specialists say if left untreated, varicose veins can form into a genuine therapeutic issue.

It's ordinarily seen as a restorative blemish that influences the ladies. However, specialists say if left untreated, varicose veins can form into a genuine restorative issue. Particularly in the eighteen percent of men who likewise experience the effects of the condition.

Quick tip: Varicose veins and spider veins are usually used synonymous, but there are some differences.

varicose veins
How did I get Varicose Veins?

Hereditary Factors

    - Standing for long periods of time (ie. working as  a hairdresser)
    - Hormonal influences
    - Birth control pills
    - Postmenopausal hormonal replacement
    - History of blood clots
    - Conditions that increased abdominal pressure (ie. tumors, constipation)
    - Obesity

Here's what can help

New negligibly obtrusive strategies are permitting vascular specialists to remedy the issue for the last time. The most well-known issue that individuals have when they encounter varicose veins is a loss of capacity or uprightness of the valves inside the vein.  These valves are viable and effective approaches to keep the inversion of blood stream progressively down the leg.


What's going on with your veins?

The weight inside the vein is irregular leaving the veins broadened. This weight inevitably pushes into the corresponding vein. It turns into a domino impact down the leg, harming more veins.


Patients who have experienced past ordinarily stripping 10, 20, 30 years back were regularly deserted with lingering varicose veins under the surface of the skin that were not ready to be recognized around then. Typically patients need anywhere in the range of two to four procedures relying upon the seriousness of the issue.

Dreading swim suit season because you don't want to show everyone your spider veins? Get rid of your spider veins and flaunt your beautiful skin. No more living in embarrassment.

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

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.

Get Rid of Those Varicose Veins

Dr. W. Y. Chung, MD - Thursday, June 25, 2015

Varicose Vein Treatment Hawaii

The Vein and Skin Center of Hawaii is excited to provide the residents of Hawaii minimally invasive and state-of-the art treatment for their varicose veins. The following is a brief discussion on the pathophysiology of varicose veins and the treatments available at the Center.

Arteries are the blood vessels that carry blood from your heart to the rest of your muscles, tissues and organs. Veins return that blood back to heart so it can be re-oxygenated and recirculated.

To accomplish this feat, the veins in your legs must work against gravity. Muscles in your legs and elastic vein walls help return blood to your heart. Tiny one-way valves in your legs open as blood returns upward towards your heart and close to prevent blood from flowing backward.

Due to a variety of factors (ranging from hormones, trauma, pregnancy, genetics, obesity, pro- longed standing and aging), the veins in your legs may lose their elasticity and cause them to stretch. The valves in your veins may become weak and allow the blood, which is supposed to return to the heart, flow backwards. Blood then pools and accumulates in your veins, which then become enlarged and varicose — hence the term varicose veins. The veins appear blue because they contain deoxygenated blood. This development is termed venous insufficiency.

Varicose Veins Hawaii

Many individuals may first notice unsightly spider veins — tiny red or blue veins on their legs. They vary in size and often have the appearance of a spider’s web or tree branch. Spider veins are similar to varicose veins, but they are smaller in size. You may not have any symptoms from these veins except that you do not care for their appearance.

However, have you ever experienced any leg heaviness, cramping, throbbing, swelling, aching, itching or restless legs? These symptoms are characteristic of venous insufficiency in your legs. After an initial consultation with one the Center’s physicians, the next step is to obtain a duplex ultrasound scan of your legs. This procedure is non-invasive and will decipher any abnormal flow in your leg veins. It can also document any leg blood clots, also known as deep venous thrombosis (DVT).

Once this information is acquired and analyzed, the Vein and Skin Center’s physicians will formulate a comprehensive treatment plan for each patient. The treatment scope includes visual sclerotherapy, endovenous laser ablation therapy (EVLA), ambulatory phlebectomy, ultra- sound-guided sclerotherapy and laser treatments.

Vein Clinics of HawaiiVisual sclerotherapy treats the smaller visible spider veins. It involves the injection of a harmless solution into the veins to scar and seal them. In addition, our physicians utilize Hawaii’s only VeinViewer, which is the only patented technology to visualize subcutaneous veins in real- time. Not only does this assure increased accuracy of injections, but it also provides instant feedback as to the injection’s success.

Endovenous laser ablation (EVLA) involves inserting a thin laser catheter into a slightly deeper leg vein, which is the source of varicose and spider veins. As the laser catheter is pulled out, the laser tip is heated and causes the collapse of the vein to seal it closed.

Ambulatory phlebectomy involves the removal of smaller varicose veins via a series of tiny skin punctures. This procedure is performed with local anesthesia, is minimally invasive and leaves minimal to no scarring.

Ultra- sound-guide sclerotherapy employs the use of a noninvasive ultrasound scan in real time to target deeper veins, which may be the source of recurrent varicose veins. The same solution utilized with visual sclerotherapy is injected into these troublesome veins to scar and close them.

Nd:YAG laser technology is utilized to treat or touch up spider veins. The laser treatments gently and effectively enable these unsightly blood vessels to fade slowly and become re-absorbed by your body. No anesthesia is required, and treatments are rapid, safe and effective with little or no discomfort. The Center’s new advanced laser treatments deliver precise and tailored doses of energy to the targeted vein in a series of brief pulses. Regular activities may be resumed immediately after the therapy.

Patients have expressed tremendous satisfaction with their treatment results and overall experience at the Vein and Skin Center of Hawaii. One of the Center’s clients recently shared her experience and wanted to let others know how satisfied she was:

“I can’t thank you enough for all you have done for me,” the patient said. “I am very pleased and happy with the excellent results of the procedure done by you. My legs look and feel absolutely younger. They feel light, pain free and look youthful and pretty.”

The goal of the Vein and Skin Center of Hawaii is to provide comprehensive care of venous disease. The procedures are minimally invasive and require little to no down time.

The Vein and Skin Center of Hawaii

The Vein & Skin Center of Hawaii

Located in Honolulu, HI, The Vein and Skin Center offers the most advanced facial and body treatments. Designed specifically to cater to your needs, our goal is to exceed your aesthetic expectations. 

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


Improve Blood Flow & Fight Clots

Dr. W. Y. Chung, MD - Thursday, March 12, 2015

Varicose Vein Treatment Hawaii

New Tech Helps Improve Blood Flow & Fight Blood Clots...

Varicose Vein Treatment Hawaii

Varicose Veins Causes & Risk Factors...

Varicose Vein Treatment Hawaii

Facial and Body Treatments...

 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

Laser Therapy Treatment for Varicose Veins

Dr. W. Y. Chung, MD - Thursday, October 09, 2014

Varicose Vein Laser Treatment
A new study reports that laser therapy is the best alternative for treatment of varicose veins. The study reviewed 798 participants who had varicose veins and had been treated at 11 vascular surgery centers between 2008 and 2012.  Participants in the study had one out of three types of treatments including, closing off veins with a laser, injections of drug foam into the vein, and surgically removing the vein. 

At six months post treatment, researchers checked the outcomes identifying the success of each, and interviewed the participants.   The main findings indicated that there were fewer complications experienced after laser treatment.

The Causes of Varicose Veins

Generally, varicose veins are blood vessels that are swollen or twisted, and are caused by valves inside the veins not working correctly. 

People who experience this condition have pools of blood that have gone backward due to the leaky valves inside the vein, causing an enlargement of the vein. 
Varicose Veins

The Laser Procedure

Termed endovenous laser ablation or more commonly laser therapy, the laser procedure utilizes heat produced by laser energy to close off affected blood vessels, making the blood flow to healthy veins located nearby. 
Endovenous Laser Treatment

The Foam Procedure

The injection of drugs into a vessel, mixed with air, will cause the wall of the vessel to thicken, and can assist with sealing off the blood flow.  The study indicated that this procedure was less likely to completely close a vein that had faulty valves, thus requiring additional treatments. 

Complications from the Procedures

The study showed that one percent of patients treated with a laser experienced complications as compared to six and seven percent of the participants who had the foam and surgery treatments respectively. 

Medical professionals have indicated that based on the study, in comparing complications and treatment success rates, laser treatment appears to be the best option for treating varicose veins.

The Vein and Skin Center of Hawaii

The Vein and Skin Center of Hawaii offers trained professionals and state of the art treatment for varicose veins including laser therapy. Learn more here...

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. 

Eradicate Spider Veins With The Latest Laser Technology

Dr. W. Y. Chung, MD - Friday, November 09, 2012

Minimally invasive procedures prove to be very effective

The word “laser” usually gives the connotation of advanced technology. Interestingly enough, the use of lasers in medicine has been present for more than 30 years. During this time period, there have been many advances in the field of laser technology, and this advanced modality of treatment is available for you at the Hawaii Vein Institute.

In previous articles, we have briefly discussed the use of laser technology for endovenous laser ablation (EVLA) for the treatment of larger varicose veins, which are the source for many spider veins. Spider veins usually are asymptomatic and are generally a cosmetic concern. For patients who are symptomatic, further investigation is necessary and is performed in our office to evaluate any underlying medical concerns. In today’s article, we would like to dis- cuss the use of lasers as an adjunct to our standard of care management in the treatment of superficial spider veins.

The laser modality is a simple, quick, and effective method to treat superficial spider veins. The most common laser employed to help eliminate spider veins is the Nd:YAG laser system. The laser focuses a specific wave- length of light that targets the pigment in the blood. The generated heat coagulates the blood inside the vein and causes it to collapse and seal. The laser treatments deliver a precise amount of energy to each vein without injuring the nearby tissue. Eventually, the vessel will disappear, and the blood will be reabsorbed.

The laser therapy is per- formed in the office and usually takes approximately 15-30 minutes. During the procedure, patients may experience a slight tingling sensation as the laser targets the vein. Patients may also notice a slight bump on the skin which will fade away in the next several hours. The treatment area may also have a slightly redder appearance and occasionally may be bruised. In the next several weeks, the spider veins will progressively change from a dark blue to light red color and will ultimately disappear.

The results of laser treatment for spider veins are not instantaneous. The end out- come may not be obvious for several months; however, most patients express satisfaction with their results in a brief time span. Therefore, it is generally recommended that the treatments be spaced four to six weeks apart. The treated veins are perceptibly clearer, and the skin continues to improve with each successive treatment. If new veins emerge in the interim, further treatments will be essential to achieve optimal results. Depending on the size and number of veins, an average of two to six treatments will be required.

After the laser therapy, patients are encouraged to avoid direct sun exposure. Wearing compression hose assists in the healing process. The pain from the procedure is minimal, and over-the- counter pain medications are sufficient for any minimal discomfort experienced. In addition, there is no down time after the laser treatment, and patients are encouraged to resume all nor- mal activities immediately afterwards.

Although the laser treatments do not thwart the development of new spider veins, the eradication of existing spider veins can significantly improve the appearance of the affected area to pro- vide a more youthful and healthy look. Most patients report a high degree of satisfaction with the procedure and are grateful that they no longer have to conceal their unsightly spider veins.

The goal of the Hawaii Vein Institute is to provide comprehensive care of venous disease. The procedures are minimally invasive and require little to no down time. To arrange a consultation and treatment, contact the Institute via e-mail at or by calling (808) 735-8346.