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Dr. Karamanoukian shares his tips when it comes to developing symptomatic veins after bariatric surgery


Losing a large amount of weight is something that should be celebrated!
Unfortunately a number of people who lose 50 percent or more of their body fat will most likely experience more symptoms in their lower extremities due to venous insufficiency.  According to current research, up to a third of bariatric surgery patients undergo treatments for venous insufficiency and varicose veins.

Dr. Karamanoukian Portrait

Dr. Hratch L. Karamanoukian is a double board certified surgeon with offices located in Williamsville, NY and Clarence, NY. Below, Dr. Karamanoukian shares his tips when it comes to developing symptomatic veins after bariatric surgery. Dr. Karamanoukian is Diplomate of the American Board of Surgery and American Board of Thoracic Surgery (Cardiovascular Surgery) and has certification from the American Board of Venous and Lymphatic Medicine. Dr. Karamanoukian is also a Fellow of the American College of Surgeons (FACS).

When picking candidates that are eligible for this type of non-invasive procedures what do you look for?
Dr. Karamanoukian: I look for patients that lost weight and have may have body deformity such as sagging of the skin in the thighs and legs.

I also make sure that the candidate has lost most (80%) of the weight they planned to lose. They also must have symptoms of venous insufficiency and have bulging varicose veins that have become apparent after weight loss.

What are the common symptoms of venous insufficiency?
Dr. Karamanoukian: Aching and pain in the legs, heavy feeling in the legs at the end of the day, tired and fatigued legs with walking and exercise, itching and burning along the veins, cramping and throbbing in the legs and thighs, restless legs at the end of the day, and ankle and leg swelling.

If someone just has bulging veins and no symptoms, are treatments for varicose veins covered by insurance?
Dr. Karamanoukian: Medical insurance covers procedures in better than 98% of the time if patients have symptoms of venous insufficiency (described above).

Are these invasive procedures and are they done in the hospital?
Dr. Karamanoukian: I perform all of these procedures in the office under local anesthesia. Several needle pricks are used and the laser catheter (EVLT Never Touch) or the RF device (VNUS Closure) or ClariVein catheters are placed through these numb areas to complete the procedure. Patients drive home themselves and return to full functional activities immediately.

Are there other options?
Dr. Karamanoukian: There really aren’t any other options today that are reimbursed by medical insurance. Two new procedures have been FDA cleared that use foam Polidochanol (Varithena) or glue (VenaSeal) and we are currently evaluating whether or not we will incorporate them into our practice.

How can someone keep his or her veins healthy?
Dr. Karamanoukian: It is important for people to keep the weight off. It is also important to take bioflavonoids to keep the veins healthy. It is also critically important to walk daily and keep the leg calf muscle pump working and strong. This is the primary pump mechanism that pumps venous blood out of the legs.

How do you prevent the consequences of untreated venous insufficiency?
Dr. Karamanoukian: Treating the venous insufficiency reduces the likelihood of developing bronzing of the skin and the leathery hard texture that develops if left untreated, with the end result being development of venous ulcers (chronic wounds). 

Would you say these types of procedures dramatically uplift your clients?
Dr. Karamanoukian: Yes, it really lifts their spirits. It's very important because having lost all the weight, they feel great but they have painful legs that are swollen with large sized tender varicose veins. So, this is the cream on top of the ice cream! These vein procedures give you the legs that you aimed for when you started on your journey to lose weight.
 

Learn more about Dr. Karamanoukian's procedures to treat venous insufficiency by clicking here.
Check out Dr. Karamanoukian's free eBook about venous insufficiency: 

Treatment Options for Chronic Venous Insufficiency

Check out Dr. Karamanoukian's free eBook about the Health Benefits of Citrus Bioflavonoids:
The Health Benefits of Citrus Bioflavonoids and Diosmin

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