Plastic & Cosmetic Surgery in Santa Monica

Endovenous Laser Treatment (EVLT)

Endovenous Laser Treatment (EVLT) is a minimally invasive procedure to eliminate unsightly varicose veins. It is a welcome alternative to previous methods, such as vein stripping and ligation. It is a rapid, safe outpatient procedure that not only corrects the cosmetic aspect of varicose veins, it also restores healthy circulation in the legs.

At the office of Dr. Karamanoukian, we welcome all patients seeking relief from varicose and spider veins. Dr. Karamanoukian is a vein specialist and has helped restore healthy, beautiful legs for hundreds of patients. Following treatment, his patients routinely report complete satisfaction with his services, calling it the best laser vein removal Los Angeles has to offer. If you’re interested in eliminating your varicose or spider veins, please call our office today.

How EVLT Works

As a minimally invasive procedure, EVLT is done through tiny pinhole incisions located just below the knee or near the ankle. Dr. Karamanoukian threads a catheter up through the varicose vein being treated with the guidance of ultrasound. Once the catheter is in place, Dr. Karamanoukian inserts a laser probe along the entire length of the vein.

The laser energy is then activated from the probe, while Dr. Karamanoukian slowly and systematically pulls the probe through the vein. As the probe moves, it heats the walls of the vein, causing them to shrink and close so blood can no longer flow. The circulatory system automatically diverts the blood to other, healthier veins, increasing circulation and providing immediate relief from pain caused by varicose veins.

EVLT generally takes less than an hour to perform, although it may be longer if done on several veins.

Laser Vein Removal

Benefits of EVLT

Unlike its predecessors, EVLT offers less invasive treatment to patients suffering from varicose veins. Further, its results are permanent, unlike vein stripping and ligation, in which varicose veins may return. All in all, Dr. Karamanoukian greatly favors EVLT for its effective results and maximum patient comfort. With each procedure, he strives to deliver the best laser vein treatment possible.

  • The benefits of EVLT include:
  • Often performed in under an hour
  • Immediate relief from varicose veins
  • Outpatient procedure
  • No downtime, with patients immediately able to resume daily activities
  • No general anesthesia
  • No scarring
  • Highly effective, with a 98% success rate
"I cannot begin to tell you how impressed I was with the work of Dr. Raffy Karamanoukian. He is a likeable physician and surgeon who made my whole treatment as enjoyable as possible. I suffered from varicose veins all my life and that was likely due to family history. Dr. K cannot change my genetic makeup but he sure did improve the look and feel of my legs." Patient Testimonial


As a minimally invasive procedure, EVLT offers patients a very mild recovery period. For the first several days, most patients have some bruising and a feeling of tightness in the legs. Even with these symptoms, most patients can return to their daily activities immediately following the procedure. It is recommended that patients avoid strenuous exercise and heavy lifting for about one week following the procedure.

The results from EVLT are immediately visible, and only improve over time as the bruising and swelling subsides. Further, patients with painful symptoms from varicose veins experience immediate resurgence of function in their legs. The rate of patient satisfaction is much higher than previous procedures—up to 98% of patients are completely satisfied with the results. All in all, EVLT combined with Dr. Karamanoukian’s expertise provides excellent results in laser vein removal.


While most elective cosmetic procedures are not covered by insurance, EVLT can be viewed as a medical necessity. This means that in some cases, we can get our patients covered for this procedure, allowing them to reap the cosmetic and health-related benefits that EVLT has to offer. Our insurance experts will do everything in their power to get the coverage you deserve. To get started, all we need is your insurance information. Please call us today with any questions.

Laser Vein Treatment

Expert EVLT Surgeon

Meet Dr. Karamanoukian

If you're looking for laser vein removal in Santa Monica, there are few surgeons more qualified than Dr. Raffy Karamanoukian. He is double board certified, meaning he has proven talent and experience backing up each procedure he delivers. When it comes to providing permanent relief from varicose veins, Dr. Karamanoukian can uphold every surgical standard to keep you looking and feeling your very best. First and foremost, this extends to the safety aspect of your procedure. Second, it extends to the cosmetic excellence of your EVLT, ensuring that your results fulfill everything agreed upon.

Each EVLT takes place in a surgical suite that is fully accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). Whether your particular procedure requires general anesthesia or simply conscious sedation, Dr. Karamanoukian uses a handpicked, board-certified anesthesiologist to look after this aspect of your EVLT. In this way, he maintains every safety standard in the book. If you're looking for effective laser vein treatment in Los Angeles, please call our office today.