National Center of Excellence for Vein Disorders

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The Vein Treatment Center is a National Center of Excellence for Vein Disorders. Hratch Karamanoukian,MD, FACS and Raffy Karamanoukian, MD, FACS are 2 of 3 Board Certified Phlebologists (vein specialists) in the Buffalo Niagara frontier. Dr. Hratch Karamanoukian also holds added Board Certification in Surgery (ABS, American Board of Surgery) and Thoracic Surgery (ABTS, American Board of Thoracic Surgery). Dr. Raffy Karamanoukian has added Board Certification in Plastic and Reconstructive Surgery. Dr. Hratch Karamanoukian and Dr. Raffy Karamanoukian are Fellows of the American College of Surgeons (FACS). Intro Video.

Watch a video about the Vein Treatment Center

Watch an introduction to The Vein Treatment Center

Located in Williamsville, just outside Buffalo, NY, the Vein Treatment Center specializes in the diagnosis and treatment of vein disorders such as varicose veins, spider veins and venous reflux disease. We have additional offices in Clarence, NY and East Amherst, NY. Our brand new facility in Clarence, NY is convenient for patients in the SouthTowns - including West Seneca, Cheektowaga, Orchard Park, Attica, Warsaw, etc.

Using specialized diagnostic tools, Dr. Karamanoukian and staff expertly implement cutting-edge treatment options such as the VenaCure EVLT Never Touch procedure for the treatment of saphenous venous insufficiency and perforator venous reflux disease. We also utilize VNUS Closure FAST, ultracision microphlebectomy, Ultrasound Guided Sclerotherapy and foam sclerotherapy to rid patients of symptoms such as bulging leg veins, restless legs, pain, discomfort, swelling, itching or leg discoloration associated with venous insufficiency.

Please understand your initial visit may last between 1 to 1.5 hours. Making an informed decision regarding minimally invasive procedures and surgery requires time and attention. Consultation times may vary depending upon the type, extent and number of procedures under discussion. Our staff to patient ratio is high so that we can deliver personalized and attentive care to all of our patients. We have 20 employees at the Vein Treatment Center. Dr. Karamanoukian personally conducts the history and examination and goes over the findings of the examination and Doppler studies and provides a treatment plan to suit the needs of a particular patient. Dr. Karamanoukian will see you at every visit to the Vein Teatment Center. In today's health care climate, you will rarely find this type of care anywhere else in the United States!

The Vein Treatment Center is proud to sponsor Steve Mesler and the US Olympic Bobsled Team

Dr. Karamanoukian and his team strive to provide patients with the best care in vein surgery. Our staff takes pride in being knowledgeable, compassionate, and available for our patients. All patients are given Dr. Karamanoukian’s home phone number and cell phone number. He is available 24/7 365 days a year. Our goal is to make your experience at the Vein Treatment Center as comfortable and pleasant as possible.

We challenge you to find a physician who is more compassionate, experienced and engaged in the care of his patients with vein problems in the United States. We look forward to meeting you!

Although you can find a radiologist or general surgeon who can do one procedure or another on you, if you are looking for a Board Certified physician who is aslo a surgeon, you have come to the right place. Not only is Dr Karamanoukian Board Certified in Surgery and Thoracic Surgery, he is one of the first surgeons in the U.S. to have obtained Board Certification in the discipline of Venous Diseases, known as Phlebology ! Look for this added designation when you seek care for your vein problems.

Not only does Dr. Karamanoukian have a busy clinical practice, but he also is involved in doing clinical and basic science research in venous diseases (see About section). He has published over 20 books, some of which are available on Amazon Kindle books.

Facts and Figures about Varicose Veins

Ages 20-29, 1% have varicose veins

Ages 30-39, 15% have varicose veins

Ages 40-49, 25% have varicose veins

Ages 60-69, 45% have varicose veins

Ages 20-29, 10% have varicose veins

Ages 30-39, 25% have varicose veins

Ages 40-49, 45% have varicose veins

Ages 60-69, 75% have varicose veins

A role for specific genetic risk factors for varicose veins and spider veins is not known. However, heredity does play a role in the development or susceptibility for development of valvular failure at the saphenofemoral junction - also called venous reflux.
Of note, when an individual has venous reflux disease, the likelihood of his/her identical twin to have venous reflux disease exceeds 75%.
The likelihood of a male to have a relative with a varicose vein is approximately 20%. The likelihood for a female patient to have a relative with vericose veins is 45%.

For more information about varicose veins, spider veins, venous reflux and treatment options such as the closure procedure or guided sclero, contact Dr. Karamanoukian at the Vein Treatment Center, a National Center of Excellence for Vein Disorders by email or by phone at (716) 839-3638.

Vein Treatment Center

Informational Videos

National Center of Excellence for Vein Disorders

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