Dr. Karamanoukian

Location: Santa Monica, CA
Member since 8/15/2008


  • 14,183 total posts
  • 14,038 answers
  • 2 questions

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Questions from Dr. Karamanoukian

Melarase Vs. Obagi for Dark Spots on the Legs?

I want to choose between Obagi and Melarase for dark spots on the legs. Which one will lighten up my dark spots below my knees. READ MORE

How many times do I use Melarase a day for my dark spots?

I have dark spots on my scars and want to use Melarase for the darkness. How many times do i use the cream per day and how long will it take for the scar to disappear. READ MORE

Recent comments from Dr. Karamanoukian

A combination of Ematrix RF, fractional laser, subcision, and fillers can help with atrophic acne scars. Pigmented acne scars do well with Melarase creams and Melapeels. READ COMMENT

Thank you so much for your kind words. Scars are challenging and its nice to have patients who understand the intricacies of treatment. READ COMMENT

I evaluated a patient today who had silicone inflammation in the buttocks resulting from liquid silicone injections. The process left the patient with pain, discomfort, chronic skin changes, and nodularity. READ COMMENT

Our office performs silicone removal surgery in patients who are having symptoms associated with foreign body reaction. Dr. Karamanoukian has developed a grading scale to characterize foreign body tissue reaction related to permanent... READ COMMENT

Thank you very much for your insight. Removal of silicone is a difficult process and requires a dedicated approach. For many patients, silicone injections can be a lifelong and permanent problem with no real solution. I have treated... READ COMMENT