WHAT WE DO

Dr. Kaufman performs a variety of vein treatments including in-house, ultrasound diagnostic procedures to identify venous disease. His expertise includes treating varicose veins using endovenous laser ablation and radiofrequency closure, which ultimately diminishes or eliminates their appearance. He also offers treatment for small vein disease, such as spider veins and telangiectasias, through injection sclerotherapy.

Our team is dedicated to providing all of our patients with quality vein care using proven and innovative minimally invasive surgical techniques. As vein specialists, we strive for successful outcomes with minimal complications. We help patients with unsightly varicose veins, spider veins, disabling pain secondary to varicose veins, and venous ulcers. Our approach enables patients to regain their normal function and quality of life.

If you have any of these concerns, we can help you.

I’m having discomfort or swelling in the following areas:

  • Varicose Veins
  • Swollen Limbs
  • Pain
  • Leg Heaviness & Fatigue
  • Skin Changes or Ulcers

I’m unsure if I’m a candidate based on my

  • Age
  • Gender
  • Family History
  • Obesity
  • Standing Profession
  • Multiple Pregnancies

Vein Center Services

Our comprehensive vein therapy center offers:

  • Ultrasound
  • Laser & Radio Frequency Ablation
  • Endovenous ablation
  • Sclerotherapy
  • Trivex
  • Phlebectomy
  • Percutaneous Ablation
  • Treatment & Diagnosis of DVT
  • IVC filters
  • Treatment of Post-Phlebitic Syndrome
  • Treatment of Lymphedema
  • Medical & Surgical Treatment for Varicose Veins
  • MOCA-Mechanico-Chemical Ablation

VEIN TREATMENT

Premier Vein Center provides caring, expert medical services for the treatment of vein disease. You don’t need to live with unsightly veins, leg pain, or ulcers. Dr. Jarrod Kaufman will evaluate and resolve your vein disease using state-of-the art vein therapies.

Enlarged, tortuous veins, discolored veins, and painful or tired legs result from vein disease. When valves inside your veins become damaged, they inhibit the forward flow of blood, and allow blood to pool. Schedule an appointment with our Central Jersey vein doctor for an expert evaluation of the cause of your vein disease for proper treatment.

Ultrasound

Venous ultrasound utilizes harmless sound waves to form images of the inside of your body for diagnosis and vein treatment. Ultrasound can be used to inspect the valves inside your veins or look for blood clots; such blockages can be life-threatening because if they break loose, they can travel to the lungs or brain.

Laser & Radiofrequency Ablation

Laser therapy and radiofrequency ablation are two minimally-invasive techniques used to treat varicose veins. Laser therapy directs a focused beam of light at the affected vein to destroy the faulty vein. The veins closes and is gradually reabsorbed harmlessly, making the varicose vein disappear. Radiofrequency ablation is similar, but it uses radiofrequency energy instead of a laser.

Endovenous Ablation

This technique gets rid of varicose veins by using heat to shut down the affected veins. The heat may be generated by a targeted laser or radiofrequency energy. Endovenous ablation is minimally invasive and very effective.

Sclerotherapy

This procedure treats spider veins and small varicose veins by injecting a special solution into the affected vein. This causes the vein to collapse and reroute blood through healthier veins. Over time, the collapsed vein is reabsorbed harmlessly.

Trivex

This new, proven treatment gets rid of varicose veins and venous ulcerations by physically removing the damaged vein through tiny incisions. Trivex is minimally invasive and offers great cosmetic results.

Percutaneous Ablation

This refers to going through the skin to treat spider veins and varicose veins. Typical treatment options include sclerotherapy, laser ablation, radiofrequency ablation and Trivex. Our Central Jersey vein doctors are highly experienced at using these techniques to help you get rid of unsightly or painful veins.

Treatment & Diagnosis of DVT

DVT, or deep vein thrombosis, refers to a blood clot in a deep vein, often in the leg. If the blood clot breaks free, it could lodge in your lungs and become life-threatening. DVT symptoms can mimic many other medical conditions, so it’s important to consult our Central Jersey Vein Clinic immediately if you’re experiencing swelling, pain, tenderness, warmth, redness or fatigue in one or both legs.

To determine whether you have DVT, our vein doctors may use venous ultrasound, venography (a special X-ray), CT or MRI to generate images of your leg veins. If a blood clot is found, you may be given medication such as blood thinners or clotbusters, or you may be advised to use compression stockings or a filter to physically prevent clots from reaching your lungs.

IVC Filters

An inferior vena cava (IVC) filter is placed in the largest vein in the body to prevent blood clots from reaching the lungs. Blood clots may generate in the legs as deep vein thrombosis (DVT); if these clots break loose and lodge in the lungs, they could cause pulmonary embolism, which may be deadly.

Treatment of Post-Phlebitic Syndrome

Also called PTS or venous stress disorder, this refers to the signs and symptoms that may occur up to a few years after having deep vein thrombosis (DVT). These symptoms, focused on the legs, are caused by damage to your leg veins from the blood clot and include swelling, pain, and skin discoloration. Treatment usually includes medications and compression stockings.

Treatment of Lymphedema

Lymphedema, or swelling in an arm or leg, is caused by blockages in the lymphatic system. This causes fluid to accumulate and create swelling. Typical treatments include exercises, compression wraps or garments, or special massage.

Medical and Surgical Treatment for Varicose Veins

Depending on the severity, type and location of your varicose veins, your Central Jersey vein treatment regimen may include any of the following:

  • Compression stockings
  • Sclerotherapy
  • Laser ablation
  • Radiofrequency ablation
  • Trivex
  • Endoscopic vein surgery (for leg ulcers)

VARICOSE VEINS

Varicose veins are most often swollen, gnarled veins that most frequently occur in the legs, ankles and feet. They are produced by a condition known as venous insufficiency or venous reflux, in which blood circulating through the lower limbs does not properly return to the heart but instead pools up in the distended veins.

More than 25 million Americans suffer from venous reflux disease. The symptoms can include pain and fatigue in the legs, swollen ankles and calves, burning or itching skin, skin discoloration and leg ulcers. In less severe cases, thin, discolored vessels – “spider veins” – may be the only symptom.

Gender and age are two primary risk factors in the development of venous reflux. An estimated 72% of American women and 42% of men will experience varicose veins symptoms by the time they reach their sixties. Women who have been pregnant more than once and people who are obese, have a family history of varicose veins or spend a great deal of time standing have an elevated risk for the condition, but it can occur in almost anyone at almost any age. Varicose veins never go away without treatment and frequently progress and worsen over time.

Severe varicose veins can have a significant impact on the lives of people who work on their feet, such as nurses, teachers, and flight attendants. Research has shown that more than two million workdays are lost each year in the US and annual expenditures for treatment total $1.4 billion.

SPIDER VEINS

Spider veins, also known medically as telangiectasia or venulectasias, are the mildest manifestation of venous insufficiency, similar to varicose veins but smaller. They are small, often tangled groups of tiny blood vessels just under the skin surface that frequently resemble spider webs or tree branches. They are generally red, blue or purple and are clearly visible, usually on the thighs, lower legs and face. Spider veins can sometimes cover large areas of skin, but they are a cosmetic problem only, rarely causing physical symptoms. At least a third of all women and a smaller percentage of men are believed to display the condition.

Spider veins are capillaries, thin vessels directly connected with the larger venous system, and like varicose veins they are caused by venous reflux. Spider veins may be isolated or associated with “feeder” veins or with larger underlying varicose veins, but they are not varicose veins – they do not bulge above the skin surface and do not require medical treatment.

Spider veins can be diagnosed merely by sight. They tend to take on one of three characteristic patterns – a “sunburst” or spider-web pattern radiating outward from a central point, a “tree-branch” pattern, or a “matting” or linear pattern that may be nothing more than a set of thin lines. Even in the absence of physical discomfort, some physicians observing spider veins prefer to conduct ultrasound exams to determine the extent of the problem and the underlying causes of the condition.

Risk factors for spider veins are similar to those for varicose veins – age, heredity, pregnancy, hormonal changes, obesity and extended periods of standing – as well as sun exposure, particularly in fair-skinned people, and injuries to the skin surface. Some physicians believe that exercise, weight loss and the wearing of support hose and flat shoes instead of high heels can reduce the incidence of spider veins.

Spider vein treatments are non-invasive or minimally invasive and include sclerotherapy and laser procedures. They are considered cosmetic procedures and are not covered by health insurance or Medicare unless a more serious underlying condition is diagnosed.

FAQ


What are varicose veins?

The term ‘varicose veins‘ is often used to describe everything from smaller, spider veins (red or blue veins on the surface of the skin) up to true varicose veins (swollen, bulging veins with a rope-like appearance). Varicose veins are quite common, with one in three woman and one in five men experience problems. Varicose vein symptoms can include swelling, tiredness, heavy feeling, leg fatigue, leg pain, as well as burning and itching sensations.

What causes varicose veins?

Varicose veins are almost always associated with venous reflux. This occurs when the valves in the leg veins don’t work well, and backward blood flow causes pooling in the lower leg. Without treatment, the pressure this creates may increase over time and cause additional varicose veins and symptoms. People with a family history and who are older, obese or are pregnant may be at increased risk of developing varicose veins.

Can varicose veins be prevented?

It is unclear if varicose veins can be prevented, but certain actions may help limit the disease’s progression and symptoms. Routine exercise, maintaining a normal weight, avoiding excessively long periods of standing or sitting, and the use of compression stockings may all help alleviate symptoms.

What happens if I don’t treat the vein?

If you have underlying venous disease (e.g., venous reflux), the pressure created by backflow of blood and pooling in the lower legs may create a progressive condition that only gets worse with time. This may lead to additional spider veins and varicose veins, and in some cases can lead to swelling and venous ulcers at the lower calf and ankle. Only a trained vein specialist can effectively evaluate your spider veins or varicose veins.

What are spider veins?

Spider veins are small veins near the skin surface and appear as webs of blue, purple or red. Heredity is a significant contributing factor in the development of spider veins. Other predisposing conditions include excessive sun exposure and prolonged standing. Spider veins may also be a sign of an underlying malfunction of the larger leg veins. In this case sclerotherapy may be required to achieve satisfactory results. While surface laser and sclerotherapy are effective at closing the veins present at the time of treatment; neither of these procedures stops the body from making new spider veins. Thus, over time, additional treatment may be required to maintain the cosmetic appearance. Spider veins are generally considered a cosmetic issue and medical treatment is not required.

Will my spider veins or varicose veins reoccur, even with treatment?

Sometimes the same factors that helped to cause your first spider veins or varicose veins (e.g., family history, age, obesity, female hormones, etc.) will make you predisposed to develop additional vein conditions. If a specific vein is properly treated, it usually does not recur, but it is possible that other veins may become diseased. This is why it is important that even if you have what appear to be simple, cosmetic spider veins, that you consult a vein specialist who can determine if you have an underlying condition (venous reflux). If you do, and you don’t treat the cause of the problem, additional spider veins or varicose veins are likely to develop.

Won’t I need that vein?

Procedures like sclerotherapy and Closure act to close down a faulty vein. The vein being closed is dysfunctional and is allowing blood to flow backwards and pool, so leaving it open only makes things worse. The body contains numerous other healthy veins that are still functional and can easily take up the additional flow. Treatment of the faulty veins almost always results in improved blood flow in the overall vein system.

What is the cost of vein treatment?

Procedures like VNUS Closure/Venefit and ambulatory phlebectomy, when shown to be medically necessary, are commonly covered by Medicare and insurance providers. Sclerotherapy for spider veins is generally considered a cosmetic procedure and usually not covered. Consult your local insurance provider to determine your exact eligibility and coverage as well as cost.

Get in Touch!

To contact us or to schedule an appointment, please use the form below. You can also call our Brick office at (732) 262-1600. We look forward to hearing from you.