The Center for Excessive Sweating
    A National Center of Excellence for Hyperhidrosis Treatment

Located in Williamsville, just outside Buffalo, NY, The Center for Excessive Sweating specializes in the treatment of hyperhidrosis (excessive sweating) and bromhidrosis (excessive odor related to sweating). We also have offices in East Amherst , NY and Clarence, NY as well offices in Santa Monica, CA and Beverly Hills, CA in conjunction with Dr. Raffy Karamanoukian, Dr. Karamanoukian's brother and partner. 

We have evaluated and treated patients from every state in the U.S. except Alaska and over a dozen countries outside of the American Continent!

Hyperhidrosis is a condition that causes abnormal sweating of the head, face, scalp, underarms, palms and feet - in any combination. It may be associated with facial blushing that is beyond the normal emotional and physiological need.

Hyperhidrosis is a medical condition with untoward psychological consequences. The areas of the body affected may occur in any combination. It may start with the beginning of the day and be constant or intermittent. It may be due to emotional stress, and/or a  physiologic trigger. It is caused by a hyperactive sympathetic nervous system. Typically patients with hyperhidrosis sweat throughout the year, in cold and warm temeratures, indoors and outdoors.

It is not uncommon, in areas of the country such as the Northeast for patients to say that they go to an outdoor event such as a football game in December or January and still experience dripping sweat from their hands or underarms! Although the severity of sweating may be worse in the warmer months of the year, the presence or absence of sweating has nothing to the with the ambient temperature, as patients have been known to sweat during a blizzard or indoors in air conditioned settings. It is also not uncommon for patients to say that they drive with their windows open in winter months to help stop the excessive sweating! This is rarely effective.

Hyperhidrosis causes daily embarrassments and affects the quality of one's life. It also has an influence upon relationships and career choices. Friends, colleagues and relatives of affected individuals with hyperhidrosis usually fail to appreciate the impact that this condition can have on one's social life and work.

A recent study done and published by a dermatology group looked at the quality of life (QOL) indicators for patients with hyperhidrosis compared to other skin conditions such as acne and psoriasis. They found that patients with hyperhidrosis had lower QOL indicators than patients with severe acne, rosacea or psoriasis. This means that hyperhidrosis can have a significant impact on one's social life or perception of quality of life.

Dr. Karamanoukian, Director of The Center for Excessive Sweating, has treated several thousand patients over a course of 11 years with all types of hyperhidrosis - from medical therapies, Botox, iontophoresis, suction curettage (retrodermal suction curettage) and micro ETS (sympathectomy, STITCH procedure). Treatments at the Center for Excessive Sweating are multidisciplinary, as this is one of few centers in the U.S. where ALL treatments for hyperhidrosis are available as an option to patients with disabling hyperhidrosis of the head and neck, underarms, palms and feet - as well as atypical areas of hyerhidrosis, such as the back and groins. 

Dr. Hratch Karamanoukian has been performing the STITCH procedure (a less invasive approach to ETS) since 1999 and has performed ever 2,000 such procedures.  

Learn more about hyperhidrosis and how the Center for Excessive Sweating provides hyperhidrosis treatment through a combination of medical therapy, surgical intervention (STITCH procedure, micro ETS, retrodermal suction curettage), as well as alternative therapies such as Iontopheresis and Botox injections.

Iontophoresis for Palmar Hyperhidrosis

Botox for Axillary Hyperhidrosis

Retrodermal Suction Curettage (RSC) procedure for Axillary Hyperhidrosis

STITCH Procedure - aka micro ETS Procedure

To schedule an appointment, contact Dr. Karamanoukian at The Center for Excessive Sweating, a National Center of Excellence for Hyperhidrosis Treatment by email or by phone at (716) 839-3638. A full evaluation and consultation will be done, which in the vast majority of cases is covered by medical insurance. Once treatments are recommended, authorization will be requested from your insurance company to see if the recommended treatment(s) are covered.

To schedule retrograde suction curettage (RSC procedure) in our Califormia offices, call Dr. Raffy Karamanoukian @ 310-998-5533 or go to www.KareMD.com

 Watch funny but informational video about hyperhidrosis (not made by Dr Karamanoukian) by clicking on this link http://www.videojug.com/film/how-to-treat-sweaty-palms