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Cosmetic Dermatology
Skin Care, Vein Care, and Wrinkle Reduction in Los Angeles


Dr. Raffy Karamanoukian Kare Plastic Surgery

Our skin naturally changes with age, becoming more sensitive to the environment and showing signs of chronologic age, such as fine wrinkles, large pores, loss of skin resiliency, and uneven skin pigmentation. Dr. Raffy Karamanoukian is a double board certified plastic surgeon with extensive experience in cosmetic dermatology that is based on close clinical fellowship training with the nation's top cosmetic dermatologists and dermatologic surgeons.  He balances his expertise in cosmetic plastic surgery with non-invasive cosmetic dermatology procedures to achieve natural improvements in facial and body rejuvenation. During your consultation, Dr. Karamanoukian will provide you with a comprehensive treatment protocol that will include the latest plastic surgery techniques as well as innovative cosmetic dermatology advancements.  You will also have the opportunity to discuss issues related to plastic surgery during your consultation.

age spots los angeles


Laser resurfacing is an outstanding alternative for patients who request non-surgical facial rejuvenation or eyelid lift.  Dr. Karamanoukian has researched the available technology and now offers the SmartXide Fractional CO2 laser manufactured in Italy, which has become one of the most popular treatments for non-surgical facial rejuvenation in Europe.  Benefits of Fractional CO2 laser resurfacing include the following: 1) Reduction in facial wrinkles and fine lines, 2) Stimulation of elastin and collagen within the dermis, 3) Repair of sun-induced photodamage, 4)Decrease skin pigmentation, 5) Improve acne and facial scarring. 


Chemical peels are outstanding skin rejuvenation treatments that work in a controlled fashion to rapidly exfoliate the skin and stimulate skin cell renewal.  By exfoliating the epidermis or papillary dermis, the skin is stimulated to produce collagen and elastin.  Dr. Karamanoukian performs light chemical peels that penetrate the stratum corneum, or deeper chemical peels that can penetrate the papillary dermis and reticular dermis.  By controlling the depth of treatment, Dr. Karamanoukian can modulate skin stimulation and produce exceptional results in terms of skin rejuvenation. Chemical peels can be used in conjunction with laser resurfacing treatments as a non-surgical method of facial rejuvenation. To schedule a consultation for a chemical peel in Los Angeles, please call our plastic surgery patient care coordinator at (310) 998-5533.

In our Santa Monica medical spa on Montana Avenue, we specialize in effective chemical peels without significant downtime. Patients demand results and our Melapeel treatments provide an effective solution for dark spots, large pores, fine wrinkles, and uneven skin complexion. Melapeels contain 5 active chemical peel components and can help revitalize your skin.  Patients have used the Melapeel protocol for skin brightening, skin rejuvenation and anti-aging, and acne therapy. 

One of the most effective and safe types of chemical peels is known as trichloroacetic acid (TCA).  TCA chemical peels vary in concentration and can be used to treat wrinkles, oily skin, fine lines, skin discoloration, and acne.  Superficial blemishes and pigment problems can be improved with a TCA peel and Dr. Karamanoukian can explain the differences in concentrations as they relate to efficacy.  Superficial to medium depth peels are now offered at Kare Plastic Surgery & Skin Health Clinic and these can be tailored to your specific skin needs.   One of the most productive chemical peels offered at our Santa Monica plastic surgery office is the Kare Radiant Peel, which contains TCA + Keratolytics + retinoids.  The Kare Radiant Peel is an effective superficial peel that has minimal downtime after treatment. 


Lip augmentation is becoming one of the most sought after cosmetic plastic surgery treatments availalbe.  The procedure is safe, easy, with minimal downtime.  Lip augmentation can be performed to regain fullness to your lips without making them look unnatural.  

Now, more than ever, lip augmentation is easier than it ever has been.  Years ago, women who desired fuller lips would have to undergo a surgical procedure for lip augmentation or submit to collagen injections every 3 months.  Juvederm and Restylane are now ideal fillers for lip augmentation in those patients who desire fuller and more voluminous lips.  With the expertise of Dr. Raffy Karamanoukian, patients can opt for volume rich lips or choose to undergo a more natural approach that merely accentuates natural lip lines without plumping.  During your cosmetic lip augmentation consultation, Dr. Karamanoukian will provide you with several options for lip augmentation using natural looking facial filler injections. 

Volume Restoration with Facial Fillers

Facial rejuvenation can now be achieved with facial injectables, including injectable Botox and facial fillers.  Dr. Raffy Karamanoukian is experienced in the use of facial injectables to correct facial wrinkling and to restore volume loss in areas of the cheeks, temples, nasolabial smile folds, and lips.  Minimally-invasive facial rejuvenation provides for natural facial enhancement.  Board certified plastic surgeon Dr. Raffy Karamanoukian employs Botox, Dysport, Xeomin neurotoxins for wrinkle reduction and Juvederm, Restylane, and Radiesse for volume enhancement. Our newest addition to the lineup of injectable facial fillers includes Belotero, which is produced by the same company that makes Radiesse facial fillers.  Both Radiesse and Belotero are FDA approved for the treatment of facial aging. 

Restylane is an excellent facial filler that is crystal clear in color and comprised of hyaluronic acid.  It is injected in small amounts into the skin and wrinkles of the face, including the area underneath the eyes, nasolabial folds, fine wrinkles, and lips. A single treatment usually takes about 15 minutes and uses about one syringe of Restylane.  Treatments usually last about 6 to 12 months, with some clinical reports showing that in some areas of face, Restylane can last much longer.  Dr. Karamanoukian also has special expertise in the placement of Restylane into the nose for nose reshaping after rhinoplasty. 



Microdermabrasion is one of the most popular facial procedures performed in the world, due to it's high efficacy and high safety profile. The Skin Health Clinic at Kare Plastic Surgery will optimize a microdermabrasion treatment to address your key skin concerns, including acne, oily skin, melasma, fine wrinkles, and large pores.  Clients profess that the Diamond Microdermabrasion system offered in our Santa Monica office provides exceptional exfoliation and allows the skin to naturally regain its luster.  To learn more about Microdermabrasion offered at the Skin Health Clinic at Kare Plastic Surgery in Santa Monica, call our office to schedule an appointment.



Dr. Raffy Karamanoukian specializes in scar revision, particularly those related to acne scars on the face and back. Acne scars can cause a loss of dermal collagen, resulting in ice-pick, rolling, valley, box-car, and atrophic depressions.  Scar revision surgery is used to improve the appearance of the scars with less invasive surgical procedures.  Acne scars and surgery scars can also be improved using chemical peels and lasers.  Dr. Karamanoukian provides consultation for difficult face and body scars that are the result of injury or acne. Laser scar revision can improve the texture, tone, and noticeability of a scar.  The results of scar revision surgery depend on the methods used for scar reduction as well as the use of multimodality treatment.  

Facial scars are often difficult to live with as they represent a very noticeable area of the body.  Scars on the face can occur as a result of trauma or an accident, or as a result of acne, shingles, chicken pox, or burns.  Regardless of the cause of facial scars, our office can provide you with a solution for the scars.  During your consultation, Dr. Karamanoukian will evaluate your scar for tension, degree of scar depression, scar widening, hyperpigmentation, hypopigmentation, and contracture.  At that time, our office will recommend a specific treatment protocol that may include lasers, scar subcision, TCA Cross, chemical peels, topical Melaquin, or scar revision surgery. 

scar revision santa monica


Spider veins on the nose and face can be caused by a combination of factors including genetics, family history, rosacea, chronic inflammation, and seasonal allergies.  Sinus problems can also lead to the development of nose veins and broken capillaries.  In the Los Angeles area, Dr. Raffy Karamanoukian performs treatments with laser in order to reduce the appearance of nose veins and facial veins.  These veins can be dramatically improved or eliminated using a vascular laser that is directed toward the skin.  Treatments may take seconds to perform, and multiple sessions are sometimes required to effectively eliminate some veins and broken blood vessels.  Schedule an appointment for laser nose vein or laser facial vein removal in Los Angeles by calling (310) 998-5533.

facial spider veins image


One of the most common cosmetic procedures our office performs is the treatment of spider and varicose veins.  Dr. Karamanoukian is a double board certified surgeon and a diplomate of the American Board of Phlebology (Vein Surgery) and the American Board of Plastic Surgery.  He is surgical director of the Santa Monica Vein Center and can provide you with expertise in the management of spider and varicose veins.  There are several new procedures for varicose veins that have made treatments safer and less invasive. These treatments include spider vein injections, sclerotherapy, laser vein removal, EVLT, VNUS, and microphlebectomy.

Varicose veins can be treated with a new laser procedure known as EVLT or Endovenous laser ablation.  EVLT is a non-surgical treatment that is performed in an outpatient setting to eliminate the root cause of varicose veins. Treatments with EVLT are most suitable for men and women who have a long history or varicose veins and a strong family history of venous disease.  Neither general anesthesia or hospitalization is required, making EVLT a minimally-invasive procedure for venous insufficiency.  Dr. Karamanoukian uses the endovenous laser energy to completely seal off problem veins and eliminate the leaky valves that contribute to venous reflux.   EVLT can improve symptoms related to varicose veins, including pain, discomfort, itching, burning, throbbing, leg swelling, and venous skin changes.  

Schedule an appointment today with Dr. Raffy Karamanoukian at Kare Plastic Surgery in Santa Monica.  Our office offers the latest laser treatments in cosmetic dermatology in Santa Monica, Beverly Hills, and Los Angeles. Skincare and vein care are important contributors to overall health and and cosmetic improvement of the face and body.  Cosmetic dermatology is the discipline focused on cosmetic treatments for the skin and there are now newer non-surgical options to help you acheive your desired results.  Call (310) 998-5533 and speak to one of our Los Angeles plastic surgery coordinators to schedule your consultation for cosmetic dermatology.

There are many risk factors for varicose veins and our Los Angeles vein specialist will help you decide which treatment option will work best for your condition.  Varicose veins and spider veins are both treated in our office after a careful consultation and vein examination.  The most common risk factors for the development of varicose veins are as follows: 

  1. Family History: Varicose veins run in families and have a genetic component
  2. Age: Varicose veins are more common with advancing age, whereas they are rare in adolescents
  3. Female gender: Women are more apt to develop varicose veins because of hormonal loads
  4. Pregnancy: Hormonal influences can increase the risk of varicose veins
  5. Lifestyle and Activity: Prolonged sitting or standing can increase varicose vein risk
  6. Obesity: Most studies have shown that there is no association between obesity and varicose veins


varicose veins santa monica


Our most common procedure for spider veins is known as cosmetic sclerotherapy.  In years past, salt water injections were highly popular among women who wanted to improve spider veins.  Now, newer injection medicines are available and allow our surgical director to cosmetically treat unwanted spider veins without significant pain or discomfort.  Dr. Karamanoukian is a specialist in spider vein injections and can provide you with many options for treatment that include safe and effective FDA approved medicines. To schedule an appointment for cosmetic spider vein treatment in Los Angeles, please call our office at (310) 998-5533. 

Excessive sweating affects nearly two percent of the population.  That means that you are not alone if you suffer from hyperhidrosis.  The majority of patients that we see in our Los Angeles plastic surgery practice who have hyperhidrosis suffer from excessive sweat on their face, neck, back, chest, underarms, feet, hands, and private areas.  Hyperhidrosis refers to patients who have uncontrollable sweating that does not correlate with their environment or the room temperature.  

At the office of Dr. Raffy Karamanoukian, our expert team of clinicians can help you find solutions for your hyperhidrosis.  We are a national center of excellence in hyperhidrosis treatment and have affiliates in New York who can help solve your problem if you live on the East Coast.  Once you schedule a consultation, we will diagnose your hyperhidrosis and determine if a treatment is availabe for your condition. 

  1. Botox for jawline Reduction and TMJ teeth grinding
  2. Fat transfer or Fat grafting for facial volume enhancement 


  1. HYDRAFACIAL + FINE WRINKLE BOOSTER: An indulgent pore-refining medical facial with a bioactive booster to improve wrinkles. Treatment time: 30 minutes. No downtime.
  2. HYDRAFACIAL + ACNE/OILY SKIN BOOSTER: An indulgent pore-refining medical facial that includes an acne & oil control booster. Treatment time: 30 minutes. No downtime.  Ideal for teenagers.
  3. COSMO PHOTOFACIAL: One of our most popular skin treatments improves facial sun damage, fine lines, sun spots, age spots, broken capillaries, and redness. Treatment time: 30 minutes. Minimal downtime.
  4. COSMO HAND PHOTOTHERAPY: Take years off of your hands with this no-downtime treatment that minimizes age spots and fine wrinkles on the hand. Treatment time: 15 minutes. No downtime.
  5. RESILIENCE NECK LIFT: An potent laser treatment that targets dermal collagen to tighten neck skin. No surgery required. Treatment time: 30 minutes. No downtime. Ideal as an alternative to a neck lift. 
  6. MELAPEEL: Revitalize dull skin and reduce skin discoloration with this stimulatory treatment that stimulates epidermal repair and helps control facial skin pigmentation and melasma. Treatment time: 15 minutes. 
  7. BOTOX: Smoothe fine lines and wrinkles on the face, including the forehead, crow's feet, and elevens. Botox can help correct smile lines caused by facial muscles. Treatment time: 20 minutes. No downtime.
  8. JUVEDERM LIP AUGMENTATION: Volumize and enhance your lips without looking too plump or full. Restores sexiness to the lips at any age. Treatment time: 30 minutes. 
  9. RADIESSE: Soften fine lines and smile lines around the mouth and jowls while stimulating collagen. Natural results that last for over one year.  Treatment time: 30 minutes.
  10. LIPOSONIX: Melt away abdominal fat with High Intensity Ultrasound. Liposuction alternative without downtime or surgery.  Treatment time: 1 hour. No downtime.


Call us at 310.998.5533 to Schedule an Appointment


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