Vein Treatment Center

Vein Treatment Center The Vein Treatment Center specializes in the diagnosis and treatment of vein disorders and is located in Williamsville, just outside Buffalo, NY.

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 Certificat

ion 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). 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.

08/05/2026

Corona phlebectatica is “crowning of the ankle with veins”.

Corona phlebectatica is more than a cosmetic finding. It increases the risk of venous leg ulcer formation by approximately 5.3-fold and is also a marker of advanced venous hypertension associated with fragile ankle veins that may spontaneously bleed, particularly after minor trauma.

The image shows a patient with corona phlebectatica and a small ulcer which originated in the inner ankle.

If you have an ankle that looks like this, please seek evaluation and consultation.

Call 716-839-3638



www.VeinsVeinsVeins.com

08/04/2026

What is the iron amplification loop in venous disease ?

Venous hypertension → Red blood cell leakage → Iron deposition → Oxidative stress → Inflammation → Tissue injury and fibrosis → More microvascular damage → More red blood cell leakage

This mechanism helps explain:

* Hyperpigmentation (hemosiderin deposition)
* Venous stasis dermatitis (venous eczema)
* Lipodermatosclerosis
* Atrophie blanche
* Delayed wound healing
* Venous leg ulcers

Therapeutic implications

Treatments that interrupt the loop aim to reduce venous hypertension and inflammation:

* Endovenous ablation (EVLA, RFA, Varithena®)
* Compression therapy
* Exercise and calf muscle pump activation
* Leg elevation
* Treatment of venous ulcers and skin inflammation

By correcting the underlying venous reflux, fewer red blood cells escape into the tissues, reducing iron deposition and helping to break this chronic inflammatory cycle.

Don’t look too far for expertise in vein treatments. We are here in your neighborhood with 2 offices:

5225 Sheridan Drive, Williamsville, NY and
3680 Eggert Road, Orchard Park, NY.

Dr Karamanoukian is a board certified heart surgeon and has added Certification from the American Board of Venous and Lymphatic Medicine.

Phone 716-839-3638

08/04/2026

What is venous stasis dermatitis?

Venous stasis dermatitis is dermatitis of the skin overlying inflamed vein cords which may or may not be visible by the naked eye. Congestion of major superficial veins like the great and lesser saphenous veins with old venous blood can cause venous stasis dermatitis.

If you have a skin rash in your leg or legs that is not responding to topical therapy, ask your dermatologist if this rash may be related to venous congestion.

The Vein Treatment Center is here to help relieve stasis venous dermatitis with office based procedures.

You will be seen by Dr Karamanoukian at every visit to the Vein Treatment Center.

716-839-3638

www.VeinsVeinsVeins.com
on IG



















08/04/2026

Atrophie blanche is white atrophy of the skin which occurs after healing of a venous ulcer.

In atrophie blanche, the skin is devoid of arterial blood supply and turns pearly white. It is very prone to breakdown and form recurrent venous ulcers.

If you have atrophie blanche, make an appointment for evaluation.

The Vein Treatment Center is the preeminent Vein Center in Buffalo Niagara. We have focused on Vein Only Care since 2005, way before others figured out that specialization is key to providing the best vein care to our patients. 99% of our patients come to our facility for management of venous disease: venous insufficiency, varicose veins, spider veins and other serious vein conditions (venous ulcers, blood clots, etc).

Dr Karamanoukian. Is Board Certified as a cardiovascular surgeon (ABTS) and Surgeon (American Board of Surgery) and was in the first group of surgeons in the U.S. to receive certification for vein care from the American Board of Venous and Lymphatic Medicine in 2009.

We perform VNUS Closure, EVLT laser and VenaSeal to ablate veins and we individualize treatment to the needs of the patient. We DO NOT use one technology for all !

http://www.veinsveinsveins.com/contact/

Call 716-839-3638

on Instagram


Can We Treat Varicose Veins Like These?Yes.Many people believe that large, bulging varicose veins are “too advanced” to ...
08/04/2026

Can We Treat Varicose Veins Like These?

Yes.

Many people believe that large, bulging varicose veins are “too advanced” to be treated. Fortunately, that’s not true.

Today’s minimally invasive vein procedures allow us to treat even very large varicose veins without hospital admission or general anesthesia. The first step is a detailed venous ultrasound to identify the underlying source of the problem—most commonly venous insufficiency caused by leaking vein valves.

Once the underlying reflux is treated, the large varicose veins can often be eliminated using modern office-based procedures such as endovenous laser ablation (EVLT), Varithena® microfoam ablation, and microphlebectomy, depending on your individual anatomy.

Most patients walk immediately after treatment, return home the same day, and more than 99% are back to work the following morning.

If you have large varicose veins, don’t assume you have to live with them. An evaluation by a vein specialist can determine which treatment is right for you.

📞 716-839-3638
🌐 www.VeinsVeinsVeins.com
📍 Williamsville & Orchard Park, NY
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08/04/2026

10 Things You Need to Know About Varicose Veins 👇

1️⃣ They’re more than cosmetic—they can cause aching, heaviness, swelling, itching, cramps, restless legs, and fatigue.

2️⃣ Symptoms usually worsen over time if left untreated.

3️⃣ You can have venous insufficiency without visible varicose veins.

4️⃣ An ultrasound is the key to finding the source of the problem.

5️⃣ Modern treatments are minimally invasive and performed in the office.

6️⃣ More than 99% of our patients are back to work the next morning.

7️⃣ Compression stockings may help symptoms but don’t fix the underlying vein problem.

8️⃣ Early treatment may help reduce the risk of skin damage, bleeding, and venous ulcers.

9️⃣ Most insurance plans—including Medicare—cover treatment when medically necessary.

🔟 Don’t ignore leg symptoms. The earlier venous insufficiency is diagnosed and treated, the better.

📍Vein Treatment Center
📞 716-839-3638
🌐 VeinsVeinsVeins.com

We are a vein only practice and have been since 2005, one of the first in the United States focusing on vein only care. For local and regional expertise in the treatment of venous insufficiency, varicose veins and spider veins, contact Dr Karamanoukian at the Vein Treatment Center VeinsVeinsVeins.com and on IG.

08/03/2026

10 things you need to know about sclerotherapy before scheduling these procedures:

1. Sclerotherapy is not an instant fix.
2. It can take 2-3 months or more for the veins to disappear.
3. More than one session may be necessary for a treated or injected area.
4. The injected veins will look worse before they get better.
5. Patients with darker skin pigmentation are at higher risk for permanent skin discoloration.
6. You should be willing to wear compression stockings to optimize post-sclerotherapy appearance.
7. You cannot go tanning for 2-4 weeks if you get sclerotherapy. You must wear SPF 50 or more to reduce the potential for hyperpigmentation.
8. Tanning beds are also not recommended.
9. You should participate in the topical regime we recommend to optimize healing and reduce skin discoloration.
10. Getting sclerotherapy does not mean that you will never need sclerotherapy again. As you age, you will develop other spider veins.

What makes us unique ? We are a local practice and are NOT owned and operated by a large group, or a national franchise owned by a hedge fund !

We are a vein only practice and have been since 2005, one of the first in the United States focusing on vein only care. For local and regional expertise in the treatment of venous insufficiency, varicose veins and spider veins, conitact Dr Karamanoukian at the Vein Treatment Center nd VeinsVeinsVeins.com

Vein Treatment Center
Hratch Karamanoukian MD FACS RVT RPhS RPVI
5225 Sheridan Drive, Williamsville, NY, USA
3680 Eggert Road, Orchard Park, NY, USA

on IG
on IG (my second channel)
www.VeinsVeinsVeins.com
on
VeinsVeinsVeins.com on




Foam Sclerotherapy video for spider veins (telangiectasias) by

Address

5225 Sheridan Drive
Williamsville, NY
14221

Opening Hours

Monday 7am - 6pm
Tuesday 7am - 6pm
Wednesday 7am - 6pm
Thursday 7am - 6pm
Friday 7am - 4pm

Telephone

(716) 839-3638

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