Plastic & Cosmetic Surgery in Santa Monica


Microphlebectomy is a procedure to directly remove large, bulging and varicose veins from the legs. Also known as an ambulatory phlebectomy, it is a short, hour-long outpatient procedure, with patients able to walk and move about immediately after the surgery. In addition to providing a wonderful cosmetic result, microphlebectomy also gives patients immediate relief from any pain or itching caused by the varicose veins. The recovery is minimal, with bruising and swelling gone within one week. All in all, microphlebectomy with Dr. Karamanoukian provides among the most effective varicose vein treatment Santa Monica has available.

How Microphlebectomy works

Microphlebectomy is one of the most direct, simple procedures to remove varicose veins. Dr. Karamanoukian first makes a very small incision, less than ¼ inch in length. This incision is so small that it will heal on its own without the aid of stitches. Once the incision is made, he carefully removes the vein from the leg, immediately providing relief from the cosmetic and comfort-related issues connected with varicose veins.

Removing a varicose vein does not negatively affect blood flow in the body. In fact, circulation is improved because a damaged vein is no longer responsible for blood flow. The circulatory system is incredibly adaptive, and it simply reroutes the blood to another, healthier vein.

Microphlebectomy is performed under local anesthesia, with the patient wide awake during the entire procedure, which leads to no downtime after treatment. Also, because microphlebectomy is minimally invasive, patients are able to comfortably walk out of the office once the procedure is over. Over the following weeks, any bruising and swelling will resolve, leaving the patient with a beautiful cosmetic result. As a vein specialist, Dr. Karamanoukian has performed hundreds of microphlebectomy procedures, earning a reputation for delivering the best varicose vein treatment around.

Varicose Vein Treatment


The recovery from microphlebectomy is mild and rapid. Immediately following the procedure, Dr. Karamanoukian will close the incisions with small bandages. A compression garment is wrapped around the legs, which helps promote circulation during the recovery. These compression garments will be worn for about two weeks, depending on how many varicose veins were removed. Patients are encouraged to avoid rigorous exercise during recovery. However, other regular activity can continue immediately following the procedure.

“I asked other doctors and his name always came up. I went to this guy not really trusting doctors or surgeons, frankly. His bedside manner and his reassuring tone made me comfortable right away. The results were amazing. Now I can go out in public and not be ashamed of my appearance.” Patient Testimonial


While most elective cosmetic procedures are not covered by insurance, microphlebectomy 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 microphlebectomy 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.


Expert Santa Monica Microphlebectomy Surgeon

Meet Dr. Karamanoukian

For Los Angeles and Santa Monica patients considering microphlebectomy, 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 removing 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 microphlebectomy, ensuring that your results fulfill everything agreed upon.

Each microphlebectomy 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 microphlebectomy. In this way, he maintains every safety standard in the book as he provides you with safe and effective varicose vein treatment in Santa Monica.