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Santa Monica Vein Center

Dr. Raffy Karamanoukian holds board-certification in plastic surgery and vein surgery. His knowledge of vascular vein surgery combined with his exceptional attention to aesthetic detail make him the premier vein specialist in the United States. If you have developed spider or varicose veins on your legs, a consultation with Dr. Karamanoukian can help you determine the best laser, sclerotherapy, or surgical option appropriate for your veins. His professionalism, ethics, and attention to detail can help you achieve cosmetic and medical improvement in your legs.

Diagnosing Spider and Varicose Veins

Spider and varicose veins are usually seen in adult men after the age of forty and adult women after pregnancy and childbirth. Once you start developing spider and varicose veins in the legs, it is unlikely they will spontaneously disappear unless you seek treatment. It is important that you find a board certified vein specialist who can examine your legs, map out the spider and varicose veins, and perform a diagnostic ultrasound to determine if you are a candidate for one of our laser therapies for spider and varicose veins. 

Dr. Raffy Karamanoukian, our Beverly Hills and Santa Monica vein specialist is an expert in the management of cosmetic spider veins and deeper medical varicose veins. Once you visit our Santa Monica Vein Center, he can personally perform a diagnostic vein mapping with ultrasound and infrared light to determine the source of your vein issues. You will have a chance to personally observe the vein mapping procedure and participate in the evaluation and decision-making proces for veins. 


Large bulging varicose veins are best treated with a minor outpatient procedure known as microphlebectomy in which tiny incisions are created overlying a varicose vein in order to ligate and excise the defective vascular structure. Microphlebectomy is performed at the Santa Monica Vein Center under local anesthetic using a small amount of lidocaine solution. After surgery, patients are provided with a compression dressing and are quite happy to find out that their dreaded varicose ein is permanently removed and destoryed.