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Best Treatment for Large Varicose Veins and Venous Reflux in Los Angeles - Santa Monica Vein Center

Treatment for large varicose veins begins with an ultrasound to determine the extent of venous reflux and vein incompetency along the Greater Saphenous Vein in the Leg and Thigh.  If there is documented venous insufficiency, a laser treatment known as endovenous laser ablation (EVLT) is performed, in which a small laser fiber is guided into the affected vein to eliminate the venous reflux.

EVLT Porter Ranch

Based on several studies, it is believed that the results of EVLT and endovenous ablation with laser are effective longterm.  5 year follow up showed a success rate of about 93% to 98%. Schedule a consultation with Dr. Karamanoukian at the Santa Monica Vein Center by calling (310) 998-5535. Read More about Varicose Veins. 

What symptoms are associated with varicose veins? Santa Monica Vein Center Treatment in Los Angeles

The Santa Monica Vein Center provides comprehensive evaluation for varicose veins, led by a board certified vein surgeon Dr. Raffy Karamanoukian.   Learn more about varicose or spider veins.


Veins can develop over years, and so too can symptoms associated with varicose veins.  The most common problems associated with varicose veins are the following: 

  1. Bulging blue veins
  2. Pain 
  3. Leg discomfort
  4. Leg heaviness
  5. Tiredness
  6. Leg cramps
  7. Leg swelling
  8. Leg burning or leg itching
  9. Leg tenderness
  10. Leg skin discoloration
  11. Leg throbbing or cramping

Is there any physical downtime after sclerotherapy? - Santa Monica Vein Center in Los Angeles

Sclerotherapy is becoming one of the most common cosmetic procedures for the legs and thighs.  Unwanted spider and varicose veins can be virtually eliminated with these simple cosmetic injections that can eliminate unwanted thread veins, spider veins, reticular veins, and varicose veins.  It is most important to choose a knowledgeable and board certified vein specialist to perform your sclerotherapy, as the long term efficacy of sclerotherapy and spider vein injections depends on proper technique and the patient selection. 


Dr. Raffy Karamanoukian is surgical director of the Santa Monica Vein Center and is a double board certified plastic surgeon and vein surgeon.  He performs medical and cosmetic sclerotherapy for the feet, ankles, legs, and thighs in order to eliminate unwanted spider veins.  Progression of spider and varicose veins can lead to cosmetic and medical problems and Dr. Karamanoukian will advise you on all of your vein options during your consultation. 


Our Los Angeles plastic surgery office specializes in spider and varicose veins and our office can provide you with full details regarding our comprehensive approach for spider veins with minimal incisions or downtime.  Physical activity is resumed immediately after your sclerotherapy injection, but our expert team of vein specialist advice that you refrain from strenuous physical activity for at least five to seven days after your spider vein injection or varicose vein treatment.  Strenuous exercise may include yoga, high intensity aerobic exercise, and sports activities.  However we advise that you walk normally and ambulate as much as you can after your sclerotherapy injections.  If you have questions about sclerotherapy or other varicose vein treatments such as EVLT, VNUS, and vein stripping surgery, please call our Los Angeles vein office at 310-998-5533.

Spider veins and Varicose veins information - Santa Monica Vein Center in Los Angeles

Varicose veins and spider veins are among the most common medical concerns among healthy adults.  Genetic factors, occupational factors, and level of activity can determine whether varicose veins arise on the legs and thighs.  Despite a healthy diet and lifestyle, the patients may have a genetic predisposition to develop varicose veins that cannot be eliminated with lifestyle alone.  Millions of healthy adults suffer from some type of vein problem, including spider veins, thread veins, varicose veins, and bulging veins on the legs and thighs.  These veins can cause symptoms such as achiness, leg pain, discomfort, heaviness, early muscle fatigue, swelling, and muscle cramping. 


If you have problems with your legs and thighs in terms of the development of varicose veins, newer procedures can eliminate the medical problems associated with varicose veins using simple laser based and radiofreqency based options.  Laser has eliminated the need for surgery in many cases and can reduce the risk of problems to the vein circulation and can improve your overall health.  The goal of vein treatment is to improve the condition of your venous circulation, thereby reducing the number and severity of abnormal veins in the legs and thighs.  There are cosmetic and medical benefits to vein treatments and these will be discussed during an in depth consultation with Dr. Raffy Karamanoukian. 


 Dr. Karamanoukian is a double board certified surgeon specializing in cosmetic plastic surgery as well as vein surgery.  He is a diplomate of the American Board of Plastic Surgery as well as the American Board of Phlebology (vein surgery).  If you have questions about your veins and wish to undergo treatment for varicose veins, please call our Los Angeles vein surgery patient care coordinator at 310-998-5533.

What type of anesthesia is used for endovenous ablation (EVLT)? Santa Monica Vein Center in Los Angeles - Dr. Raffy Karamanoukian

The endovenous ablation treatment is one of the most effective nonsurgical techniques for the management of venous insufficiency and vein problems.  The patients with varicose veins and symptomatic vein disease may benefit from this minimally invasive procedure.  Unlike vein stripping that was performed in the past, endovenous ablation has minimal downtime and recovery.  Dr. Raffy Karamanoukian is a specialist in the management of varicose veins and venous insufficiency and has authored several chapters in nationally recognized publications on vein disease.  He has been featured on the popular television shows demonstrating his innovative approach to varicose veins and spider veins. 


Dr. Karamanoukian also specializes in endovenous ablation and performs both EVLT and VNUS procedures.  Treatments with EVLT are performed in an outpatient accredited operating room under local anesthesia.  A small amount of local anesthetic is used to harmlessly anesthetize the area around the vein in order to effectively eliminate the venous reflux and safely collapse the unwanted and ineffective vein in the leg.  If you have questions about venous insufficiency and varicose veins, a consultation regarding EVLT and endovenous ablation can be made with Dr. Karamanoukian in his Los Angeles office. 


EVLT procedure require only local anesthesia, and if necessary the patient may request a prescription medication to reduce anxiety during the procedure.  All efforts will be made to eliminate and decrease the discomfort experienced during the procedure.  However most patients will report that the endovenous ablation is relatively painless with minimal recovery.  If you have questions about varicose vein treatment, please call our Los Angeles office at 310-998-5533.  Our vein surgery patient care coordinator can facilitate your consultation request and help you schedule your treatment for vein problems.  Please call 310-998-5533.




The Santa Monica Vein Center accepts most major insurance plans as an Out-of-Network healthcare provider.  We strive to provide you with the most up-to-date solutions for your varicose vein and venous problems.  Please contact our Los Angeles vein clinic at (310) 998-5533 for information regarding insurance coverage, laser treatments, pricing estimates, and consultation requests.  Our office offers the EVLT, Venefit, Clarivein, VNUS, Ultrasound sclerotherapy, Foam Sclerotherapy, and Laser Vein options. 

Santa Monica Vein Center, Los Angeles Vein Treatment, Los Angeles Varicose Veins

What are varicose veins?


Unwanted veins in the legs and thighs are often characterized as spider veins or varicose veins.  These veins are often unsightly and can cause medical problem if left untreated.  Varicose veins are usually the bulging bluish or purplish veins that arise from the skin on the legs and thighs.  The bulging veins often represent dilated or severely extended veins that not only cause discomfort, but press against the skin and cause a bulgy and twisted change along the skin surface.  These veins have often lost their ability to pump blood back to the heart and this impairment in normal circulation can often have a long term consequence.  Varicose veins can have direct cosmetic effect on the legs and thighs, but can also begin to have medical effect as they begin to impair the normal circulatory system in the arteries and veins.  Most patients will often notice a change in the cosmetic appearance of their leg over a long period of time, followed by progressive achiness, early fatigue, heaviness, cramping, itching, and burning along the areas of veins. 


Tenderness is an uncommon finding often associated with inflamed veins.  Once the varicose veins begin to dilate and progress, they often affect the surrounding veins and arteries, causing a progressive enlargement in the abnormal venous complex surrounding the areas of the leg.  Most varicose veins are asymptomatic however, with the patient noting symptoms in the late stage of venous disease.  The first in evaluating your varicose veins is determining whether they are in fact abnormal veins.  Dr. Raffy Karamanoukian is a board certified plastic surgeon and a diplomat of the American Board of Plastic Surgery and the American Board of Phlebology (vein surgery).  He performs outpatient cosmetic surgery and outpatient vein treatments in his two Los Angeles offices that are dedicated to plastic surgery and vein surgery. 


Please call our Los Angeles vein surgery patient care coordinator who can schedule a consultation and answer basic questions about varicose vein treatment.  Dr. Karamanoukian has been featured on multiple occasions on nationally televised shows demonstrating his unique approach to nonsurgical and outpatient varicose vein treatment.  Our office can be reached at 310-998-5533.


Los Angeles Vein Clinic: Click Here for information about spider vein removal

About Vein Treatments in Los Angeles: Los Angeles Vein Surgeon

About Vein Treatments in Los Angeles:


Dr. Raffy Karamanoukian is a double board certified plastic surgeon and vein surgeon specializing in the diagnosis and management of complex vein problems along the legs and thighs.  In the Santa Monica Vein Center, Dr. Karamanoukian treats the most common manifestation of vein disease including cosmetic spider veins and medical varicose vein.  In our multidisciplinary center, you will receive the most state of the art diagnostic modalities for the treatment of spider and varicose veins.  The most common therapies for unwanted veins include laser vein therapy, endovenous treatment with EVLT or VNUS, spider vein injections, and ambulatory vein surgery.  Newer treatments allow for less downtime and quicker recovery compare to older vein surgery methods. 


The management of veins begins with a comprehensive consultation in which Dr. Karamanoukian will perform a pertinent medical examination to determine the extent of cosmetic vein problems and medically aided vein problems.  Vein disease can also cause symptoms of pain and discomfort, itching and burning, leg cramp, and restless legs.

Call (310) 998-5533 to schedule your inital consultation with double board certified Plastic Surgeon Dr. Raffy Karamanoukian.  Dr. Karamanoukian treats spider veins, varicose veins, and reticular veins using the latest laser and radiofrequency based systems, including VNUS and EVLT.  Call today to schedule a cosmetic spider vein treatment in Los Angeles. 


Learn more about spider vein treatment in Los Angeles with Dr. Karamanoukian: Click Here

Learn About Vein Treatment: Los Angeles vein clinic | EVLT and VNUS | Venefit

Vein Health: Types of Vein Problems



Your veins represent an important part of your body and circulatory system.  There are many different types of vein problems that one may experience.  Treatments can help you live a healthier lifestyle by improving circulation and reducing the symptoms of venous disease. 

Our board certified vein surgeon has been featured on KTLA, Fox TV, and The Doctors 

Types of Vein Problems


We have thousands upon thousands of veins in the body.  So, it is not surprising that some of our veins may begin to age with time.  Unhealthy vein valves may begin to worsen with time, leading to a condition known as venous insufficiency.  You may not notice the signs of venous insufficiency early on, but with time, the health toll by begin to affect your quality of life.  In our Los Angeles vein clinic, we offer treatments for the following conditions: 

  1. Varicose Veins
  2. Spider Veins
  3. Thread Veins and Facial Spider Veins
  4. Painful veins in the legs
  5. Thrombophlebitis
  6. Vein ulcers
  7. Leg swelling, Restless legs, and Throbbing Veins

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