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About The National Center of Excellence for Vein Disorders - VeinsVeinsVeins.com

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 4 Board Certified Phlebologists (vein specialists) in the Buffalo-Niagara frontier. A phlebologist has added Board Certification from the American Board of Venous and Lymphatic Medicine (ABVLM). Dr. Hratch Karamanoukian also holds Board Certification in Surgery (ABS, American Board of Surgery) and Cardiovascular 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).

Picture: Dr. Karamanaoukian and world-renowned vein specialist and vascular surgeon Syde Taheri MD FACS. (pictured right). Dr Taheri is considered a pioneer in the field of venous disease and specifically venous insufficiency and originated the field of vein valve repair and vein valve transplantation in the 1990's. Dr. Taheri also developed the aortic aneurysm stent which has saved hundreds of thousands of lives in the world !  He is currently retired and continues to patent many surgical devices. 

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, venous ulcers, venous reflux disease and cosmetic vein disorders. We have additional offices in Clarence, NY and East Amherst, NY. Our new facility in Clarence, NY is convenient for patients in the SouthTowns - including West Seneca, Cheektowaga, Orchard Park, Attica, Warsaw, Batavia, Rochester, Syracuse and Southern Ontario, just across the Peace Bridge.

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 the Venefit Procedure (previously called VNUS Closure), ultracision microphlebectomy, Ultrasound Guided Sclerotherapy, foam sclerotherapy and topical laser treatments to rid patients of symptoms such as bulging leg veins, restless legs, leg pain, discomfort, leg swelling, itching or leg discoloration associated with venous insufficiency. Cosmetic vein laser is also available for lesions on the face, neck, chest and other parts of the body.

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 24 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 every 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!

Dr. Karamanoukian and his team strive to provide patients with the best and most advanced care for spider veins, varicose veins and venous insufficiency. 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 your legs, if you are looking for a Board Certified physician who is also a surgeon with added certification in Phlebology (venous diseases and surgery), you have come to the right place. Not only is Dr. Karamanoukian Board Certified in Surgery and Thoracic Surgery, he is a Fellow of the American College of Surgeons (FACS). He is one of the first group of surgeons in the United States who have obtained Board Certification in the discipline of venous diseases known as Phlebology ! Look for this added designation as credentials when you seek care for your vein problems.

Dr. Karamanoukian is involved in community activities and is a Board Member of Daemen College in Amherst, NY.

He is involved in doing clinical and basic science research in venous diseases (see About section). He has published 41 books which are available on Amazon Kindle and Nook ebooks. He has also published over 140 peer reviewed articles in cardiovascular medicine and surgery.

Dr. Karamanoukian's books are available as free eBooks to all of his patients.


About Dr. H Karamanoukian
Dr. Karamanoukian has been writing peer reviewed books for medical scholars and also general health books for patients since 1999. Here is a list of 41 books written by Dr. Karamanoukian (Dr. Karamanoukian's Books)

Read Dr. Karamanoukian's Books online here.

Dr. Hratch Karamanoukian has worked with the Hope for Tomorrow Foundation and Dr. Jeffrey Meilman (founder) in many countries around the world. Dr. Karamanoukian has also volunteered with Students Without Borders (SWOB) at Daemen College and also independently with Dr. Raffy Karamanoukian in Armenia and Nagorno Karabagh Republic. Click here to see Dr. Karamanoukian's humanitarian work

Dr. Hratch Karamanoukian is a cardiovascular and thoracic surgeon who has specialized in minimally invasive cardiac surgery, thoracic surgery, robotic surgery and vein disorders. He is a Diplomate of the American Board of Surgery (recertified 2009) , Diplomate of the American Board of Thoracic Surgery and Diplomate of the American Board of Phlebology (venous disorders and venous surgery). Dr. Karamanoukian is a Fellow of the American College of Surgeons (FACS).

Thirteen years ago, in 1999, Dr. Karamanoukian, Dr. Jacob Bergsland and Dr. Tomas Salerno were the first surgeons in the Buffalo Niagara region to perform robotic surgery. At the time, only a handful of surgeons in the United States and Europe performed robotic surgery of any kind. The trio, performed robotic cardiac surgery and robotic thoracic surgery. The first application was performing robotic thoracic sympathectomy for hyperhidrosis (excessive sweating). In 1999, they performed beating heart robotic bypass surgery with the Zeus Robotic System by Computer Motion, Inc. Since then, surgeons in the area have introduced this technique in pediatric surgery (Dr Philip Glick) and prostate surgery (Roswell Park Cancer Institute). Thirteen years later (2010), they have introduced 'robotic heart surgery' and urologic surgery at a local Catholic Hospital.

Dr. Karamanoukian obtained his training at UCLA, the University of Southern California and the University at Buffalo. He has graduated from Honors Collegium at UCLA with a Bachelor's degree in Biochemistry. After obtaining his medical degree (MD) from the University of Southern California (USC), Dr. Hratch Karamanoukian completed his residency training in general surgery and thoracic surgery with highest honors from the University at Buffalo. In addition to two dozen research awards during his training as a surgical resident, Dr. Hratch Karamanoukian received the Worthington Schenck Resident Teacher of the Year Award, Dr. Rutecki Memorial Award given to one Graduating Chief Surgery Resident and Best All Around Graduating Resident Award. As such, he was awarded 3 out of 5 awards at graduation from a class of 10 chief resident peers in 1997. Dr. Hratch Karamanoukian was administrative Chief Resident in Cardiac Surgery from 1998 - 1999 and received the George Schimert award for outstanding graduating resident.

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