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Removing French PIP Implants in the United States - Los Angeles Plastic Surgeon

PIP breast implants manufactured in France were reported to contain a lower grade of silicone, making removal of the implants more difficult and time consuming if there is evidence of rupture.  Brazil's Health Ministry recently banned the importation and use of PIP implants in women following the French report.  Other South American countries are soon to follow.


Although Dr. Karamanoukian only uses FDA approved silicone breast implants that adhere to strict safety guidelines placed by the US FDA, he is familiar with the management of breast implants placed in other countries.  He routinely sees patients from South America, Saudi Arabia, UAE, Bahrain, Qatar, Abu Dhabi, and Kuwait.  Schedule a consultation for silicone breast implants.  


Dr. Raffy Karamanoukian provides expertise in the management of difficult breast implant ruptures and capsular contracture.  Schedule a consultation with Dr. Karamanoukian in Beverly Hills or Santa Monica if you wish to discuss your alternatives for PIP breast implant removal or replacement in the Los Angeles area.  Schedule a consultation by calling (310) 998-5533. 

Kare Plastic Surgery on Montana Avenue in Santa Monica

Kare Plastic Surgery is a leading skincare and cosmetic surgery clinic located on exclusive Montana Avenue in Santa Monica.  Minutes from Ocean Avenue on the shores of Santa Monica Beach, Kare Plastic Surgery is world renowned for innovative cosmetic surgery and skincare treatments that are a favorite of celebrities and world dignitaries. Our office caters to the most discriminating tastes and offers private consultations for men and women; and executive male cosmetic rejuvenation in a private setting. 


Kare Plastic Surgery on Montana Avenue in Santa Monica offers celebrity skincare and world renowned cosmetic treatments

SmartXide CO2 laser resurfacing now available in Santa Monica and Beverly Hills,

Some patients have asked for a very effective non-surgical procedure to improve wrinkles around the mouth and face.  After a thorough study of the available treatments across the globe, the most effective treatment available currently is the Fractional CO2 laser.  Dr. Karamanoukian recently purchased an outstanding system manufactured in Italy that is all the rage in Europe. Deka, the manufacturer of the SmartXide CO2, is the world's largest producer of aesthetic lasers and has developed this revolutionary laser with the idea of a non-surgical laser peel.  The treatment effectively improves wrinkles around the mouth and eyes, tightens the facial skin, and can minimize if not eliminate uneven texture and pigmentation around the face.  The laser is often performed in conjunction with an eyelid surgery or facelift surgery to tighten the areas of the mouth and undereyes. Schedule a consultation today and speak with Dr. Raffy Karamanoukian or PA Kelly Cummings about our newest laser addition. Call (310) 998-5533. 

SmartXide Fractional CO2 laser for laser resurfacing in Santa Monica and Beverly Hills. 

Patient's Choice Award for Dr. Raffy Karamanoukian - Santa Monica Plastic Surgeon

Dr. Karamanoukian was recently awarded the Patient's Choice Award for 2011.  The following is an excerpt from the letter awarding the 2011 Patient's Choice Award to Dr. Karamanoukian. 


Raffy Karamanoukian image


Dr. Karamanoukian,

'Your patients have selected you for the Patients' Choice Award in 2011. More than 200,000 patient reviews and ratings are gathered each month. This top rating has only been awarded to you and a select few of the nation's most beloved doctors. Congratulations! Your patients have taken the time to compliment you in areas such as: your bedside manner, the amount of time you spend with them, the courtesy of your staff, appropriate follow-up, and their overall opinion of you as a physician. Quite simply, you are one of the best! Display your prestigious award in your waiting room or exam rooms so that your patients know how highly regarded you are (only 5 percent of the nation's active physicians were accorded this honor by their patients in 2011.)' 

American Registry, LLC

What is the recovery with IPL: Santa Monica IPL treatment with Dr. Raffy Karamanoukian in Los Angeles

Learn more about IPL treatment:


What is the recovery time with IPL Photofacials? 


IPL photofacials use a broad spectrum light to improve facial discoloration and sun spots on the face. The light energy is similar to laser, but is technically different that a single wavelength laser beam.  In our office in Los Angeles, we typically use IPL photofacials for sun spots, age spots, melasma, sun damage, fine wrinkles, and facial redness.  The IPL photofacials should be used in conjunction with a good sunscreen and topical treatment for skin discoloration.  We recommend the Melaquin Skin Brightening Complex line of products, including Melaquin AM and Melaquin PM. 


There is minimal downtime with the IPL procedure, as patients will return to normal activities after IPL.  Some of the dark spots will become slightly more noticeable and the redness from the treatment usually subsides within a few hours.  We recommend immediate application of a sunscreen, Melaquin AM Daily UV Protect or equivalent, and avoidance of direct sun exposure. 


Schedule a consultation for IPL treatment in Santa Monica, Beverly Hills, and Los Angeles by calling (310) 998-5533. 

IPL santa monica

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 Fractional CO2 the same as Fraxel Laser? Santa Monica Plastic Surgery - Kare Plastic Surgery

Fractional CO2 laser using the SmartXide computer generated laser beam is an ablative laser that can vaporize the upper layers of the skin.  Fractional treatment is a nonablative procedure that requires multiple sessions.  The benefits of fractional CO2 are based on the ablative vaporizing function of the laser beam.  Schedule a consultation for laser skin resurfacing with Dr. Raffy Karamanoukian in Santa Monica by calling (310) 998-5533. 

Treatment of chicken pox and acne scars - Los Angeles plastic surgeon for acne scars and chicken pox scars

Chickenpox scars are often difficult to treat because of the loss of dermal integrity along the scar edge that cause contour irregularities. Typically, chickenpox scars have a circular shape and precipitous edges that cause dimpling of the mid portion of the scar.  Chickenpox scars can cause permanent deformity on the skin and can be improved with a combination of laser treatment and surgical scar surgery.  Dr. Raffy Karamanoukian can provide details about scar revision treatment and laser scar treatments in the Los Angeles area.  Please call our office for scar revision at 310-998-5533.  Our office serves the Santa Monica, Beverly Hills, and Los Angles area.

Dark and hyperpigmented scars on the face and legs - Los Angeles and Santa Monica Plastic Surgeon

Treatment of Dark and Hyperpigmented Scars on the Face and Legs:


Dark or hyperpigmented scars on the legs and thighs can occur from a combination of things including trauma, cuts and scrapes, shaving, ingrown hairs, and insect bites.  Regardless of the cause, hyperpigmented scars on the legs and thighs can be treated with a combination of topical creams and scar preparations including Melaquin AM and Melaquin PM creams.


Once the skin color and complexion is improved, patients are candidates for more aggressive treatments with chemical peels and laser.  The goal of treatment for dark scars should be to improve the overall tone of the skin and this can be accomplished by regular use of Melaquin AM and Melaquin PM topical cream.  If you have questions about treatment of dark scars on the legs, call our office at 310-998-5533 in the Los Angeles area or visit to place order for Melaquin AM and Melaquin PM

Dr. Raffy Karamanoukian Public Speaker and Media Expert - Clinical Educator in Cosmetic Dermatology and Plastic Surgery


Raffy Karamanoukian photo image


Dr. Raffy Karamanoukian is an insightful lecturer and clinical educator in plastic surgery and cosmetic dermatology.  He regularly teaches clinical courses to physicians and cosmetic skin specialists. His most recent clinical course is on melasma and skin pigmentation in the context of cosmetic plastic surgery.  Dr. Karamanoukian practices in Santa Monica and Beverly Hills and is a full time plastic surgeon and vein surgeon.  He holds clinical privileges at St. John’s Hospital in Santa Monica and is a Clinical Assistant Professor at the University of California Irvine Department of Plastic Surgery.  Dr. Karamanoukian can customize a surgical or cosmetic dermatology presentation to meet your audience profile if you own a medical spa, plastic surgery, or cosmetic skin practice.


Dr. Karamanoukian is also author of over twelve clinical books and is an avid enthusiast in medical education.  Topics include melasma and skin health, plastic surgery and cosmetic plastic surgery topics, incorporating cosmetic practices into a clinical setting, vein treatments, dynamic foam sclerotherapy, rhinoplasty, and revision rhinoplasty. 


Contact our office manager at Kare Plastic Surgery and Skin Health Clinic to schedule an individualized clinical teaching session with Dr. Raffy Karamanoukian by calling (310) 998-5533. 

How many treatments are required for laser skin resurfacing? Fractional CO2 Santa Monica Plastic Surgery

Laser skin resurfacing is a definitive procedure that is nonsurgical.  Dr. Raffy Karamanoukian will assess the quality of your skin to determine how many treatments will be required.  Most cosmetic laser skin resurfacing treatments are done once every several years, up to 10 years; whereas acne scar treatments with the fractional CO2 laser may require more than one session to retexture indented acne scars.  During your consultation Dr. Karamanoukian will discuss your options and give you a realistic plan prior to treatment. Schedule a consultation for laser skin resurfacing in Santa Monica by calling (310) 998-5533

What are some reasons to undergo fractional laser resurfacing? Santa Monica Fractional CO2 laser treatment

Fractional laser resurfacing can be performed for cosmetic improvement of the skin including premature aging, wrinkles, skin irregularities, sunspots and age-spots, and loss of skin tone.  Newer research has shown the benefit of fractional CO2 laser for hand rejuvenation as well as acne scars.  Reports from the United States and Asia have determined the benefits of laser skin resurfacing for acne scars as well as surgical scars.  Dr. Karamanoukian can give you options for treatment which will maximize your benefit without surgery.  Schedule a consultation by calling (310) 998-5533. 

One of the most impressive results with laser skin resurfacing is in patients who have premature sun damage and precancerous skin lesions.  Patients who have multiple skin cancers can benefit from fractional CO2 in order to decrease the load of sun damaged skin and improve your chances of leaving a skin cancer free life.  Many options are available for fractional CO2 and Dr. Karamanoukian is well versed in the literature and research behind the technique.  If requested, Dr. Karamanoukian can provide treatments for multiple areas including the hand, chest, neck and face simultaneously.  In the majority of cases these laser peels can be performed under a local anesthesia using topical medications such as Lidomax.  Schedule a consultation for laser skin resurfacing using the Fractional CO2 laser by calling (310) 998-5533. 

Types of Fractional CO2 laser resurfacing in Santa Monica - Santa Monica Plastic Surgery

After conducting intense research in the different protocols for laser skin resurfacing and fractional CO2, Dr. Karamanoukian has chosen the SmartXide CO2 laser that is manufactured in Italy.  SmartXide is one of the most innovative and technologically advanced computer generated CO2 laser systems available in the market Smartxide is FDA approved. In Europe SmartXide and its manufacturer Deka are known as one of the premier leaders in the fractional CO2 market.  The fractional CO2 system used by Dr. Raffy Karamanoukian has a high level of safety and Dr. Karamanoukian can go over all the risk and benefits of the procedure during your initial consultation.  Schedule your consultation for fractional CO2 laser in Santa Monica by calling (310) 998-5533.

Beverly Hills Breast Augmentation, Breast Implant Revision Los Angeles, Beverly Hills Breast Implants

Dr. Raffy Karamanoukian is a Beverly Hills plastic surgeon and performs breast implant surgery on an outpatient basis.  Breast implants are FDA approved and can be performed with both silicon or saline implant.  Silicon implant has an elastomer shell with silicon content whereas a saline implant has an elastomer shell that is not prefilled by the manufacturer.  Saline is a sterile solution containing a sodium chloride that is very similar to the IV fluid that is administered in the hospital.  Both implants are available in the United States and have a record of safety. 


During your consultation for breast augmentation, Dr. Raffy Karamanoukian will provide you with detail to choose the type of breast implant that is suitable for your breast shape and desired augmentation.  Both silicon and saline implant have high rates of success and have on average, over a 10 year life span.  Dr. Karamanoukian provides consultation for breast augmentation in Santa Monica and Beverly Hills and serves the Greater Los Angeles area.  Please call our office at 310-998-5533 to schedule an appointment for breast augmentation in our Los Angeles plastic surgery office.

What are common causes of gynecomastia? Los Angeles plastic surgeon for male gynecomastia

What are some leading causes of gynecomastia?


Gynecomastia is caused by excessive growth of glandular tissue in the male breast.  Although there are many causes of gynecomastia commonly the most common reason for development of this condition is normal growth during puberty and adolescents.  Glandular breast tissue can be removed using liposuction, laser liposuction, or ultrasound liposuction in the office of Dr. Raffy Karamanoukian.  Dr. Karamanoukian is a board certified plastic surgeon specializing in body contouring and breast surgery.  He performs cosmetic breast surgery in Santa Monica and Beverly Hills and serves the Greater Los Angeles areas.  If you have questions about gynecomastia and its causes, a comprehensive consultation with Dr. Karamanoukian will allow him to examine the breast tissue and determine whether this is likely caused by gynecomastia. 


The most common causes of gynecomastia include normal growth, medicines, marijuana use, and endocrine changes.  Dr. Karamanoukian specializes in gynecomastia liposuction in the Los Angeles area and can provide you with expert analysis and treatment recommendations.  Please call our Los Angeles plastic surgery patient care coordinator at 310-998-5533.

Los Angeles cosmetic breast surgery: How soon after a breast augmentation should someone undergo a mammogram?

How soon after a breast augmentation should someone undergo a mammogram?


Breast cancer screening is important in all adults females of childbearing age.  Routine screening begins with self breast examination, followed by mammograms annually as prescribed by your plastic surgeon or primary care physician. 


Dr. Karamanoukian is a firm advocate of routine breast cancer screening as well as mammograms for all female patients, regardless of whether or not they have undergone breast augmentation


If you have recently undergone a breast augmentation, Dr. Karamanoukian will recommend a timeline for your first mammogram, depending on your individual risk factors, family history for breast cancer, and breast tissue characteristics.  It is prudent to undergo at least one baseline mammogram after your breast augmentation is complete.  Patients who have saline or silicone breast implants are asked to inform a mammography center about their breast implants in order to maximize visualization of the breast tissue in regards to the breast implant.  If you have questions about routine breast screening or mammography after breast implantation, please call our Los Angeles plastic surgery office at 310-998-5533.  Dr. Karamanoukian is an expert in cosmetic plastic surgery and can assist you in evaluating your candidacy for breast augmentation, breast implant revision, breast lift surgery, or breast enhancement surgery.  There are many new options available for breast augmentation and breast volume enhancement.


See Before & After Photos of Breast Augmentation with Dr. Raffy Karamanoukian

What are Sientra breast implants: Los Angeles Plastic Surgeon

What are Sientra Breast Implants? 

Schedule an Appointment for Sientra Breast Implants | T: (310) 998-5533

Sientra Breast Implants Los Angeles             Sientra Breast implants Beverly Hills


There are many different types of FDA approved silicone breast implants available in the United States.  In the Los Angeles area, our office offers premier choices for saline or silicone breast implant surgery, including revision breast implant procedures such as capsular contracture repair, breast implant rupture, explant surgery, and breast lift surgery.  


Among the different manufacturers of silicone breast implants, Sientra is a among the premier FDA approved options for silicone implants.  Sientra breast implants are made in Brazil and are completely safe for longterm breat augmentation.  There are many new options available with the Sientra implants including textured or smooth implants, round or anatomical. Dr. Raffy Karamanoukian uses the cohesive silicone gel implants available through Sientra. 


If you are interested in learning more about breast augmentation, capsular contracture, cohesive gel implants, or breast lift surgery with a Mommy Makeover in the Los Angeles area, call our office patient care coordinator at (310) 998-5533 to schedule an individualized breast implant consultation with Dr. Raffy Karamanoukian. 


Cohesive breast implants, Cohesive implants, Sientra silicone, Sientra Silicone implants, Santa Monica, Los Angeles

Labiaplasty surgery in West Hollywood

Labiaplasty surgery in West Hollywood


A condition known as labia minora enlargement can cause significant emotional and physical complaints in women who have noticed a gradual lengthening of their labia minora.  Dr. Raffy Karamanoukian is a double board certified plastic surgeon and an expert in labiaplasty surgery as an outpatient technique for the reduction of the labia minora.  He has recently authored an article in a medical publication regarding his unique approach to outpatient labiaplasty procedures.  By combining minimally invasive techniques with meticulous surgical treatment, Dr. Karamanoukian can perform a labiaplasty procedure under local anesthesia with minimal recovery or downtime.  Labiaplasty surgery is usually performed on an outpatient basis in an accredited operating room located in Santa Monica or Beverly Hills. 


Our office is located in Santa Monica, adjacent to the Saint John’s Hospital and the UCLA Hospital in Santa Monica.  If you have questions about labiaplasty surgery or outpatient labiaplasty surgery, please call our office at 310-998-5533.  We offer innovative solutions for labiaplasty surgery and can provide you with many options for treatment.


Top Treatments for Over-Plucked Eyebrows: Santa Monica Hair Transplant

At Santa Monica Hair Transplant and Restoration Center we are excited to discuss the latest developments in the field of eyebrow hair restoration. As eyebrow hair restoration specialists, we believe that a multidisciplinary approach to eyebrow restoration translates to the best results. This should involve a healthy and balanced diet including vitamin supplements such as biotin, minimally invasive procedures such as PRP injections, and finally micro-hair transplantation. Hair transplant for thinning eyebrows is not a new phenomenon, but recent advances in knowledge and techniques are making eyebrow transplant a more common remedy.


Eyebrow hair transplant in Santa Monica


There are basically two techniques for eyebrow hair restoration, Follicular Unit Transplantation (FUT) also known at the strip method; and Follicular Unit Extraction (FUE). In FUT a strip of your hair is removed from the back of the scalp; the strip is usually processed by specially trained technicians under a microscope and then the Follicular Units are transplanted to the recipient site. This method was considered the gold standard for decades and many surgeons still perform the procedure, however there are serious downsides to this method such as a permanent scars, greater pain, and longer recovery time. Lower graft survival is also a major deterrent to performing FUT on the eyebrows.  The benefit is lower cost.


FUE involves the harvesting of individual hair follicles and transplanting them into the recipient area. We refer to the FUE technique as micro-hair transplantation because it requires meticulous attention to detail and the individual follicles are selected based on caliber, density, and quality. This translates to minimal risk of permanent donor scars, less pain, faster recovery, and greater survival of the grafts.


Contact the Santa Monica Hair Transplant and Restoration Center at (310) 998-5533 to discuss options for eyebrow reconstruction. 

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