Varicose and Spider Vein Treatment, Sclerotherapy, VNUS Closure and EVLT

Say goodbye to Varicose Veins. Hello New Legs! Learn how Hawaii Vein Center treats varicose and spider veins.

The Hawaii Vein Center offers the latest vein treatment options!



Post-treatment Regimen: Compression stockings are to be worn post procedure for a total of 72 hours (no bathing). Repeat ultrasound is done at that time. Stockings are re-applied to be worn during daily activities for the next 2 weeks.

Map the Saphenous vein: Non invasive ultrasound imaging of the diseased vein is done to trace its location. This allows the physician to mark the site where the Closure catheter will be inserted.

Deliver RF Energy: The physician activates the RF generator causing electrodes at the tip of the catheter to heat up to 120 degrees centigrade. The vein shrinks as the vein wall is heated.  Sequential burns of 7 cm lengths are done until the catheter tip completely covers the vein to the site of entry. This should close the vein completely.Confirm Closure: Ultrasound imaging is used to confirm closure. The vein gradually becomes fibrous, sealing the interior of the vein redirecting blood flow to healthy veins. The procedure is done in 15 minutes and the patient is generally in and out of the office in an hour, ready to go back to work and resume normal activities the next day.

Insert the ClosureFast Catheter:  The catheter is inserted into the marked vein site and advanced with continuous ultrasound imaging to the uppermost segment of the vein. Dilute anesthetic fluid is then injected around the vein. This numbs the leg and provides a fluid layer outside the vein to protect the surrounding tissue from heat when the catheter starts delivering RF energy.

A procedure using radiofrequency performed at the office using local anesthesia. The patient experiences little or no pain. The procedure consists of four steps:


This procedure does not use radio frequency. Instead, it uses a non-thermal, mechanical-chemical technique using a catheter that rotates an abrasion wire at a speed of 3500 RPM while infusing 1.5 – 2% of Polidocanol, a sclerosant agent.

Patients feel little or no discomfort during or after the procedure and the recovery time is less than traditional vein stripping. Patients can return to normal activity the same day.


Our office also offers foam sclerotherapy to vanish spider veins and reticular veins. Using tiny needles, the procedure is almost painless, and results are immediate. Compression stockings are applied post procedure. Most of the time, these microvessels are eradicated in one setting. However, additional settings may be required. We also treat hand and facial spider veins AKA telangiectasias. These cosmetic services are not covered by insurance.


Occasionally, veins near the surface of the skin are too large to treat with sclerotherapy (which may cause brown pigment spots with larger veins close to the skin surface) and are too small to treat with laser ablation.  In these cases, microphlebectomy, also referred to as stab phlebectomy, is sometimes recommended to treat unsightly or painful leg veins close to the skin’s surface. With stab phlebectomy, varicose veins are removed through small punctures, which leave virtually no scars.


All these services are covered by Medicare and most secondary carriers.

Spider vein treatment before and after

CALL 808-744-9369
OR 808-330-3025