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Spider Veins and Spider Vein Treatments
Spider Vein Treatment Options Buffalo Niagara and Southern Ontario, Canada and Toronto with laser and sclerotherapy


Dr. Karamanoukian has taken care of countless patients with vein problems - spider veins, varicose veins, reticular veins, venous reflux disease, venous ulcers since 2003.


We perform a continuous analysis of our practice and integrate the latest and best techniques in Phlebology, the discipline of venous disorders and venous treatments. Dr. Karamanoukian continues to offer the most comprehensive armamentarium to treat venous disorders and problems. We have maintained very high standards in our community and also have been recognized for our expertise regionally and nationally. We also treat a large number of patients from across the border in the province of Ontario, Canada.


The main aim of the treatments offered by Dr. Karamanoukian is to provide the highest possible comfort with treatments that have efficacy and proven track record in the scientific literature. We have also strived to provide all of the above while maximizing the aesthetic results desired by patients with venous diseases. 



Spider Veins    

Diagram of Feeding Vein




Foam Sclerotherapy for Spider and Reticular veins - by Dr Hratch Karamanoukian



Foam Sclerotherapy for Varicose Veins - as seen on The Doctors TV SHow - by Dr Raffy L Karamanoukian of




We have the spectrum of procedures that allow return to work 'smae day or following day' :







  • Foam Sclerotherapy


  • Topical laser treatments


  • Ultrasound guided sclerotherapy


  • Microphlebectomy



These procedures assure a high level of safety with minimal incisions and scarring potential.


Our patients return to work immediately after the procedures or the day after in more than 99% of cases. We do not encourage patients to take time off from work unless they lift heavy things (> 40 ounds) at work. The only activity we discourage is weight lifting at a gym for 48 hours after the procedure.



Sclerotherapy Pre-Injection 

Post Sclerotherapy





Right Leg Sclerotherapy


Right Leg Sclerotherapy Needle Tip

Right Leg Sclerotherapy Post Injection




Is there evidence of venous reflux disease in women with spider veins, reticular veins and varicose veins ? Buffalo Niagara Vein Expert



A recent study conducted in Brazil looked at a population of women who presented to an outpatient phlebology practice. The authors (CA Engelhorn and colleagues) from Curitiba, Brazil showed that about 90% of women with spider veins (telangiectasias), reticular veins and or varicose veins had venous reflux involving the great saphenous vein. Initial segmental reflux involving the great saphenous vein remained stable for approximately 3 years and later progressed to multisegmental venous reflux disease. As such, Duplex studies and careful follow-up was recommended for women who presented with spider and reticular veins to determine progression of venous insufficiency after treatment for spider and reticular and varicose veins. The study was published in Phlebology 2012; volume 27: pages 25-32.


As such, this study has investigated the progression of saphenous vein reflux in a young population of women who presented with cosmetic concerns for spider and reticular veins. Early signs of venous valvular disease became worse and segmental disease became multisegmental with worsening symptoms. Therefore, an aggressive follow-up of such patients is recommended by these authors to diagnose and treat those who come back with worsening symptoms and worsening US Doppler evidence of multisegmental venous insufficiency.





Edinburgh Vein Study investigates the association of telangiectasias and Venous Reflux Venous Insufficiency




Telangiesctasias in the general population in Edinburgh were investigated to look for coexistent venous insufficiency. Telangiectasias are less than 1 mm in size. The study by CV Ruckley and colleagues was published in Phlebology 2012; volume 27: pages 297-302. The study shows an association between saphenous incompetence and telangiectasias. The popliteal fossa was the most frequent site for telangiectasias.




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