Plastic & Cosmetic Surgery in Santa Monica

  • The Vein Center

    State-of-the-Art Vein Treatment

Welcome to the home of vein specialist Dr. Raffy Karamanoukian. With board certification testifying to his competence in treating vascular disorders, Dr. Karamanoukian has helped countless patients find freedom from stubborn, unsightly and painful spider and varicose veins. His caring approach and attention to detail have earned him a reputation as a leader in the field of veins, with both his peers and his patients. If you are suffering from a vascular condition, Dr. Karamanoukian can help you find permanent, effective relief. Dr. Karamanoukian's skill in spider and varicose vein treatment causes his vein center to be one of the leading vein centers in Los Angeles & Santa Monica. Please call our office with any questions or to set an appointment.

Our Vein Center

As a board-certified vein specialist, Dr. Raffy Karamanoukian delivers premier spider vein removal and varicose vein treatment. Please feel free to learn more about spider and varicose veins, as well as Dr. Karamanoukian’s ability to eliminate them.


With a variety of techniques to correct any degree of spider and varicose veins, Dr. Karamanoukian offers his patients an opportunity for total relief. His highly individualized approach ensures each patient gets the exact results desired with spider vein removal and varicose vein laser removal.

Before & After

Dr. Karamanoukian has treated hundreds of patients for spider and varicose veins. In our before and after gallery, you can see the miraculous results that leave them completely satisfied with their treatment. Please browse at your leisure.

Your Vein Specialist:
Meet Dr. Raffy Karamanoukian

In addition to his uncompromising technical excellence, Santa Monica vein specialist Dr. Karamanoukian is a caring, compassionate physician who is dedicated to helping his patients succeed, whatever that may involve for each individual case. With every procedure delivered, he attends to the patient before, during and after treatment, ensuring he or she is fully prepared and experiences a smooth, thorough recovery. By combining patient care, technical expertise and high ethical standards, he is renowned for delivering among the best spider and varicose vein treatment around.

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Dr. Raffy Karamanoukian

Dr. Karamanoukian in the Media

As a result of his relentless dedication to the advancement and development of vein treatment, Dr. Karamanoukian has been featured in the media many times, including 15 appearances on The Doctors. Through these mass outlets, he has exposed many people to the positive, rejuvenating effects of vascular cosmetic procedures. To the right is a clip featuring Dr. Karamanoukian’s use of foam sclerotherapy, which is only one example of how he offers among the most effective spider and varicose vein treatment available.

See More of Dr. Karamanoukian in the News

Varicose vein treatment

We have all seen them and so many of us have them, those bulging, bluish varicose veins with that ropey look projecting out from the back of your legs. Maybe you have spider veins, the small clusters of red, purple or blue veins that are visible just under the skin on your legs, ankles or even your face. Varicose and spider vein are very common; it is estimated 60% of Americans have varicose or spider veins.

Dr. Karamanoukian offers effective varicose vein treatment at his Los Angeles location. As the only surgeon in the United States board certified in both plastic surgery and phlebology (vein surgery), Dr. Karamanoukian understands not only how unsightly spider veins can be, but the pain varicose veins can cause. His in-depth knowledge and dedication has led him to developing the among most comprehensive varicose vein treatments for his patients.

Dr. Karamanoukian’s Vein Center offers the latest FDA-approved varicose vein treatments as well as the gold standards in vein procedures. When patients walk through the doors of the clinic, they know they will be receiving the highest level of personalized care from the most compassionate and experienced staff.

Understanding varicose and spider veins

Varicose veins and spider veins begin to develop when tiny valves within our veins become weak. Typically these valves work within the veins to push blood from the legs back to the heart, while blood is re-circulated through the body. When veins lose elasticity due to age, or circulation is reduced due to conditions such as pregnancy, blood in the veins may begin to flow in the wrong direction and then pool and become stagnant in areas. This causes veins to dilate, swell and become varicose. Like varicose veins, spider veins can be caused by swelling, but also may be due to changes in hormone levels, injuries or even sun damage.

What causes varicose veins can vary from genetics and age, to pregnancy or simply being overweight. They can even be due to having a job that has you on your feet for long hours.

Varicose vein treatment methods

After going over your medical history, discussing your symptoms and performing a thorough examination and testing, Dr. Karamanoukian will develop a varicose vein treatment plan to effectively eliminate your spider and varicose veins.

Some treatment options include: foam sclerotherapy (a fast, pain-free and non-invasive spider vein treatment procedure), endovenous laser treatment (also known as EVLT, a minimally invasive procedure to eliminate unsightly varicose veins and help with circulation issues), and microphlebectomy (where large, bulging and varicose veins are removed from the legs).