At Windward Vein, Heart and Medispa, we specialize in affordable and minimally invasive methods, performed at our outpatient treatment center in Kailua, Oahu. No matter which of our state-of-the-art treatments you choose—laser or radiofrequency ablation, ClariVein, ultrasound guided sclerotherapy or phlebectomy—take comfort knowing that these services are performed, or directly supervised, by board-certified physician Dr. Sonny J. H. Wong, FACC.

Dr. Wong is on the staff at Castle Medical Center and is a respected Fellow of the American College of Cardiology. He has over thirty years of experience as a physician. He received his venous disease training at the esteemed Midwest Vein and Laser Center under Dr. Ronald Bush, a world-renowned venous disease expert. Dr. Wong can offer an overview and recommendation for your particular varicose and/or spider vein treatment. You’re in good hands with Dr. Wong.

Varicose and Spider Vein Overview

Our state-of-the-art vein center was developed by Dr. Wong at Windward Vein, Heart, and Medispa, to offer a wide variety of vein treatments that address all vein and circulation issues. We provide treatment for simple and highly complex venous disorders affecting the legs, and other areas of the body. We treat spider veins, varicose veins, hand veins, facial spider veins, and prominent breast veins.

All of our patients receive focused, individualized, yet comprehensive care, in line with our two main objectives: to offer virtually painless treatments, without compromising your lifestyle. We believe that vein care should be effective, yet seamlessly integrated, with no interruptions into your everyday activities.

Vein Anatomy

The best starting point, when thinking about venous disease treatment, is to understand how veins work. Veins in the legs return blood that needs oxygen back to the heart, where it can then recirculate throughout the body, and dispense oxygen to the tissues. There are three sets of veins that compose the leg’s circulatory system: superficial veins, deep veins and perforator veins that connect the superficial and deep veins.

The deep veins are at the center of the leg, and are the main pathway for blood to return to the heart. The superficial veins are located on the surface of the leg muscles and are directly underneath the skin; these superficial veins return about ten percent of the blood back to the heart. The deep and superficial veins are connected by veins referred to as perforator veins. Flow in the veins is regulated by walking and squeezing of the muscles in the legs (calves), and by vein valves that open to allow blood to flow through, and directly close to prevent backflow of blood to the ankle and foot (a condition called reflux).

What Causes Spider and Varicose Veins?

Varicose veins develop because of reflux in the superficial veins–this causes blood to pool in the legs. When it comes to varicose and spider veins, the root cause of the problem is usually a damaged, or an otherwise weakened, valve within the vein that is causing this pooling of blood in the legs. When blood is unable to move upward, bulging of the overfilled veins causes stretching of the walls so incomplete connection of the valve flaps can occur and backward flow results.

A well-known fact of spider veins and varicose veins is that up to 55 percent of women, and 45 percent of men, suffer from some type of venous disease. Depending on your genetics, body type, and whether you’re a woman that has had three or more pregnancies, can raise your predisposition to acquire varicose and spider veins.

Common symptoms of venous disease:


How do Veins Become Weak?

The heart works by pumping blood out to the entire body via our arteries. Opposite the arteries, veins return blood from the body that flows back to the heart. Because our heart is located in the upper portion of the body, blood coming from the lower extremities must work against gravity to return to the heart. Blood must return to the heart constantly to pick up oxygen and repeat the cycle. Luckily, our veins have one-way valves that prevent blood from rushing back down the legs (the medical term for this is venous reflux). After the muscles in the legs push the blood up towards the heart, the valves act like locked doors that shut when blood is in front of them so preventing the blood from dropping back down the leg.
Problems typically arise when the valves in the veins malfunction. When this occurs, blood that is supposed to be making its way up to the heart leaks backward down into the vein. Over time the leaked blood pools and becomes congested, leading to dilated veins causing varicose veins to form. Spider veins are similar to varicose veins in many ways; the main difference is the size and appearance of the veins. While varicose veins are often dilated or bulging, spider veins are usually smaller and resemble spider webs from which they get their name.
Though many theories exist as to why valves malfunction, doctors tend to agree that age, genetics, obesity, pregnancy, and sun exposure are some of the leading causes of varicose and/or spider veins. It’s important to remember that we can prevent the onset of spider and varicose veins by becoming active and taking care of our bodies, despite the inevitable aging process.

Our Vein Treatments Include:

Laser and radiofrequency ablation
is for veins that are in reflux (blood flowing towards the ankle rather than towards the heart). The veins treated with the ablation technique are cauterized (closed) by the heat produced by the laser or radiofrequency energy, thus redirecting the flow of blood to return to the heart from the deep veins in the legs. Anesthetic is used to numb the vein before application of heat energy for ablation.
is one of the most state-of-the-art and minimally invasive tools for vein closure. Using a pin sized catheter/wire that is inserted into the vein and rotates in a 360-degree motion, a sclerosing solution is applied through the catheter to close off the diseased vein. This is a quick treatment with little to no discomfort and does not require an anesthetic or applied heat energy.
is the new “super glue” treatment for varicose veins that requires no heating from laser therapy or any added sclerosing medications to be inserted into the vein. A hardening adhesive is applied directly into the diseased vein and closes the vein.
is a procedure that requires only a small 2-3 mm incision in the skin, to extract the diseased vein. A vein hook is then used to remove the unsightly vein that can become painful if left untreated. It is done with local anesthetic.
Ultrasound guided sclerotherapy
is a minimally invasive procedure that requires insertion of a small needle guided by ultrasound into the varicose vein. A foamed sclerosant or liquid sclerosant is then injected into the vein and closes the vein, thus reducing the swelling and reflux. There is no scarring, and recovery is quick.
is used to help remove the small red veins referred to as spider veins from the surface of the skin. Spider veins are just under the surface and are considered a cosmetic treatment–thus not covered by most medical insurance. This treatment injects a sclerosing solution (sotradecol) into the vein, causing the vein to close and scar, leaving no trace of the vein. Treatment sessions are usually 30 minutes long. Multiple treatment sessions (3-5) per treated area, four weeks apart, are required for a 70% improvement.

Benefits and high success rates:

  • 93-95% success rate for laser and or radiofrequency ablation
  • 98% success rate with ClariVein
  • Avoid painful vein stripping surgery
  • Get right back to normal activity within days

How do I know which treatment I need?

Depending on the severity of your varicose veins or range of spider veins, Dr. Wong and our team will recommend the best treatment options for you. One treatment may be better than the others and we make sure to weigh out the options that provide the greatest chance of success.

Your long-term treatment is our priority. At Windward Vein, we make sure to offer the least disruptive options to help you get back to normal activity right after the procedure. All of our options within the vein center are geared toward nonsurgical care with lasting benefits.

If you’re experiencing pain from the presence of varicose veins, call Windward Vein to schedule your appointment today. Let’s get varicose vein free together and see how beautiful your legs can be, by clicking here.

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Windward Vein, Heart, Medispa