Kare Plastic Surgery & Skin Health Center

Kare Plastic Surgery & Skin Health Center Kare Plastic Surgery + Skin Health Center in Santa Monica is the top clinic for cosmetic surgery. He practices in Santa Monica and Beverly Hills

Dr Raffy Karamanoukian is a double board certified plastic surgeon with renown in cosmetic plastic surgery.

Breast Implant Capsular ContractureA collaborative systemic review and meta analysis examined data from over 51,000 pati...
03/02/2026

Breast Implant Capsular Contracture
A collaborative systemic review and meta analysis examined data from over 51,000 patients receiving primary breast augmentation to determine if there were differences in capsular contracture. The data identified patterns which are likely established in the scientific and clinical literature regarding implant plane placement and capsular contracture risk. The researchers found that capsular contracture was lower in the submuscular vs. sub glandular plane. “Submuscular placement was most common (n = 22,764), followed by dual-plane (15,480), subglandular (7,870), and subfascial (5,410). Capsular contracture (CC) was highest with subglandular implants (6.85%) compared to subfascial (2.80%), dual-plane (1.99%), and submuscular (1.83%) implants. Pairwise analysis revealed an increased CC risk with subglandular versus submuscular placement (RR = 2.84; p = 0.041) and a protective effect of subfascial versus subglandular placement (RR = 0.24; p = 0.013).” The authors note that submuscular and dual plane implants showed the most favorable capsular contracture profile.

In our clinical experience, we prefer dual plane and submuscular implant placement with silicone breast implants in primary breast augmentation for this exact reason. Clinicians do acknowledge that despite this information, there are many variables that may predispose to capsular contracture.

Raffy Karamanoukian
www.karesurgery.com
Santa Monica and Beverly Hills

A lipoma is a very common cosmetic problem that can occur on any part of the face and body. Lipomas are fatty tumors tha...
01/05/2025

A lipoma is a very common cosmetic problem that can occur on any part of the face and body. Lipomas are fatty tumors that start to grow under the skin. They have a spontaneous growth cycle and rarely progress to a malignancy or cancer. This is a very interesting article in the National Library of Medicine database about lipomas. In this study, Vitamin D was proposed as a natural regression treatment for lipoma involution. Very interesting approach that can facilitate treatment with surgery.

The study was limited in terms of the number of active patients who completed the study, but final data from the study showed involution and cessation of growth of lipomas when Vitamin D was consumed in a regimented way. The study also linked the dosage of Vitamin D with the patients Vitamin D levels. Perhaps there are strong pathways for lipid maturation and remodeling that is linked to Vitamin D.

At Kare Plastic Surgery and Skin Health Center in Santa Monica, we approach lipoma surgery very diligently and offer surgical options for lipomas in a luxury setting. We have an outpatient center that can facilitate the removal of lipomas using precise cosmetic surgical intervention. Our ScarFade protocol in Los Angeles can also help minimize scarring after lipoma removal. In our center, mole removal options are also available.

Whether Vitamin D can cause involution, or reduction in the size of a lipoma remains to be studied further. The results of this limited study are promising and we shall continue to monitor the Library of Medicine database for more data.

Martin L, Lambert R, Hoadley S, Shadman L, Lee RC. Vitamin D Therapy May Induce Lipoma Involution: A Multi-case Report. Cureus. 2024 Nov 25;16(11):e74412. doi: 10.7759/cureus.74412. PMID: 39723312; PMCID: PMC11669348.

The photo of a lipoma is made courtesy of dermnet.

Trap Botox or Barbie Botox is an absolute game-changer in our Santa Monica plastic surgery and cosmetic dermatology offi...
01/05/2025

Trap Botox or Barbie Botox is an absolute game-changer in our Santa Monica plastic surgery and cosmetic dermatology office. This is a photo from a few years ago when a patient requested Botox for her back discordance after strength training. Trapezius Botox is safe and effective and can relieve so many different patterns of muscle pain and discomfort.

Our cosmetic dermatology practice is located in a luxury center in Santa Monica on Montana Avenue.

This is a really interesting article about lipedema treatment. With so many patients with obesity being treated with Oze...
01/05/2025

This is a really interesting article about lipedema treatment. With so many patients with obesity being treated with Ozempic, we are still seeing lipedema take the back burner in terms of recognition. Lipedema is a significant problem affecting many adult women and there are many great ways to treat lipedema.

Hilder KR, Munnoch DA. Comparison of postoperative analgesia requirements between lipoedema and lymphoedema patients undergoing lower limb liposuction. J Plast Reconstr Aesthet Surg. 2024 Nov 28;100:233-235. doi: 10.1016/j.bjps.2024.11.027. Epub ahead of print. PMID: 39662189.

We are hosting an evening rsvp event for lipedema information and consultation in our Santa Monica plastic surgery practice in January.

Photo below courtesy of dermnet.

We loved having Lily Ghalichi in our plastic surgery and cosmetic dermatology office in Santa Monica. Here she is with N...
02/21/2024

We loved having Lily Ghalichi in our plastic surgery and cosmetic dermatology office in Santa Monica. Here she is with Nurse Liana. Thank you for the wonderful support.

Buccal fat removal is used in addition to jawline sculpting, chin fillers, dermal cheek augmentation, and neck sculpting...
04/07/2023

Buccal fat removal is used in addition to jawline sculpting, chin fillers, dermal cheek augmentation, and neck sculpting to improve your profile.

Buccal fat removal. add Kare Plastic Surgery, we can achieve amazing results in body and face sculpting using a combinat...
03/08/2023

Buccal fat removal. add Kare Plastic Surgery, we can achieve amazing results in body and face sculpting using a combination of procedures. Patients who desire a more sculpted, jawline and face definition can benefit from a procedure known as buccal fat reduction in which small pockets of fat are removed from the inner cheeks, thereby making chubby cheeks look slimmer, and the jawline more defined. Dr. Karamanoukian specializes in cosmetic plastic surgery, especially those techniques that redefined the contours of the face and body.

Buccal fat removal. Chubby cheeks can be corrected with a cosmetic plastic surgery procedure known as buccal fat removal...
03/08/2023

Buccal fat removal. Chubby cheeks can be corrected with a cosmetic plastic surgery procedure known as buccal fat removal. Dr. Karamanoukian is a specialist in this facial plastic surgery procedure in which a small pocket of fat is removed from the bilateral cheeks in order to slim the lower face and jawline.

scar vision is an amazing plastic surgery technique that can reduce the visibility of abnormal scars, resulting from ski...
03/08/2023

scar vision is an amazing plastic surgery technique that can reduce the visibility of abnormal scars, resulting from skin, trauma, or plastic surgery. By using a combination of different types of ablative, and non-ablative lasers, Dr. Karamanoukian can make your scars visibly disappear or improve. We are specialists in the management of plastic surgery scars on the face and body and can enhance the overall appearance of your cosmetic surgery results by improving the scars. We can also advise you on correction of botched, plastic surgery, and correction of breast and body contouring procedures, so that you can be more confident after your surgery.

chubby cheeks can be corrected with a cosmetic plastic surgery procedure known as buccal fat removal. Dr. Karamanoukian ...
03/08/2023

chubby cheeks can be corrected with a cosmetic plastic surgery procedure known as buccal fat removal. Dr. Karamanoukian is a specialist in this facial plastic surgery procedure in which a small pocket of fat is removed from the bilateral cheeks in order to slim the lower face and jawline.

this is a patient who has a large scar on the inner thigh from an injury that was stitched up in the emergency room. The...
03/07/2023

this is a patient who has a large scar on the inner thigh from an injury that was stitched up in the emergency room. The patient underwent emergency repair, followed by proper wound care which left her scar in a hypertrophic state with mild keloid formation and railroad tracking. Dr. Karamanoukian began treatment with his innovative laser and intralesional techniques in order to reduce scar formation and keloids. In this case, scar revision was not necessary, and Dr. Karamanoukian was able to mitigate the score of his ability using noninvasive technology. If you have large scars from plastic surgery, scars from trauma, burns, or any other injury to the skin, Dr. Karamanoukian is available for a consultation for scar revision. We use a combination of melarase creams to help lighten dark discoloration from any types of scars on the face or body.

sometimes the scar can heal quite differently than what we would expect, despite intervention by a doctor. Plastic surge...
03/07/2023

sometimes the scar can heal quite differently than what we would expect, despite intervention by a doctor. Plastic surgery, scars, traumatic, scars, receiving stitches, and keloids can cause a cosmetically visible change in the quality of the skin. Dr. Karamanoukian's team at Kare Plastic Surgery in Santa Monica can help address your scars using innovative laser and surgical techniques to minimize scarring.

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804 7th Street
Santa Monica, CA
90403

Telephone

+13109985533

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