Free Consultation at Hawaii Vein Center 

You may suggest an ultrasound test to see if your veins are working normally and to see if there are any signs of a blood clot. The testing is noninvasive and is done by a certified technician in our clinic. During the testing, we will run a small device about the size of an iphone against you your legs and skin, the transducer works just like an ultrasound and will transmit images of the veins in your legs to our monitor for review. The doctor will be able to determine the best type of treatment for your condition. The testing only takes a few minutes and is not painful.

What is Varicose Veins?

Varicose veins are swollen, twisted veins that you can see just under the skin. They usually occur in the legs, but also can form in other parts of the body. Hemorrhoids are a type of varicose vein. Your veins have one-way valves that help keep blood flowing toward your heart. … Varicose veins are very common.

How Many Treatments do I need?

We design your customized treatment plan at your consultation. It all starts with determining your candidacy and what your body needs. Typically, patients begin with 4-6 treatments per area, and can always add on more. We do offer maintenance and membership programs.


How much does Varicose Treatment cost?

There are a number of different treatments we offer. Treatments can range from small procedures to larger ones. Prices vary for each one. The best thing to do is schedule a free consultation so we can give you treatment options with prices.


Any side effects I should know about?

The most common type of side effects are swelling, bruising, change in skin color, and some pain. Although rare, complications can include blood clots, severe pain, infection, and scarring.


How Long Does It Take To Recover After Varicose Vein Treatments?

It usually takes two to four weeks to recover from varicose vein stripping. However, your recovery time will depend on how many veins were stripped and where they were located.


Is Varicose Veins Dangerous Untreated?

The short answer is yes, untreated varicose veins can be very dangerous because the blood can clot in these areas. When varicose veins clot, the condition is called superficial phlebitis and it is usually very painful, but not necessarily dangerous.



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.


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.

Frequently Asked Questions

Am I a Candidate for Treatment?
If you experience any of the following symptoms, give us a call at 808.744.9369 for a free screening!
  • Pain, aching, cramping, or swelling
  • Burning or itching of the skin
  • “Heavy” feeling or fatigue
  • Visible bulging veins
  • Skin discoloration or texture changes
  • Open sores
  • Restless legs
Are Screenings Free?

Absolutely! Give us a call at 808.744.9369 or email us at

Are Varicose Veins Dangerous?
Varicose veins are progressive in nature and if left untreated can lead to further issues, such as:
  • Deep-vein thrombosis (DVT), a blood clot that forms in a deep vein
  • Uncomfortable swelling
  • Skin ulcers
What are the Differences Between Spider and Varicose Veins?

Varicose veins are swollen, twisted, blue colored vessels that bulge just under the skin. They usually develop in the legs and can form in other areas of the body as well. Spider veins are a visible cluster of small, red, blue, or purple vessels just below the skin surface that commonly appear on the thighs, ankles, and calves.

Is the Cost of Treatment Covered by my Insurance?

While treatment for spider veins is not typically covered by insurance, all major insurance companies recognize vein disease as a medical condition. Depending on your policy and condition, your vein treatment may be a covered benefit. Our dedicated staff will work with your insurance company to verify your coverage and benefits.

What Can I Expect from the Treatment Procedure?
  • Minimal discomfort
  • Minimal downtime
  • An in-office procedure that typically takes about an hour
  • A dedicated and knowledgable team of experts in vein treatment

“A varicose vein can cause long-term health complications if left untreated”

– Dr Dan Canete

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