I was evaluated at the Center for Excessive Sweating by Dr Karamanoukian and given many treatment options. I chose to have Botox for my underarms and I am very happy that they are dry. I can wear my light colored shirts without feeling embarassed. It is very nice to have a lot of options and I plan to return if I decide Botox is no longer helpful or convenient. Thank You for your expertise. The DVD was excellent.

Steven G, Batavia, NY, Aug 30th 2010

I was evaluated in Rochester NY and had 2 Botox treatments before I saw Dr Karamanoukian at the recommendation of a friend. He tried conservative care with medication and when that failed to reduce the sweating in my underarms I opted to have the retrodermal suction curettage (RSC) procedure for underarm sweating. It worked great and I returned to work the next morning.

James D, Rochester, NY, Aug 27th 2010

I had the STITCH procedure 3 years ago and very happy with the dry hands and feet. I was visiting the website to see what's new in hyperhidrosis care and happy to see new procedures being done. I recommend Dr Karamanoukian for sympathectomy for excessive sweating.

C H, Amherst, NY, Aug 23rd 2010

I had treatments by differet specialists and physicians before I saw Dr Karamanoukian at the Center for Excessive Sweating. I felt that my treatments elsewhere were disjointed as all doctors did one type of therapy and not the other. Dr Karamanoukian does all the treatments and surgical procedures and when I was ready for the suction procedure he was able to do it for me. I was tired of running around town seeing one doctor for a topical creme another for my thyroid check another for Botox and so on. The Center for Excessive Sweating has it all and a reputable doctor who has been doing this for a long time. I recommend Dr Karamanoukian for hyerhidrosis care.

Leanne E, Orchard Park, NY, Aug 9th 2010

The Center for Excessive Sweating is the place to go for Botox treatment for hyperhidrosis. The staff is great and the secretaries did the work to get it authorized for payment by my insurance company.

Tyler D, Amherst, NY, Aug 3rd 2010

I was not interested in Botox or medication so I had the RSC procedure for my axillary hyperhidrosis. In the office for an hour and was driven home by my friend. There was little discomfort and I had a bruise in the armpits for a week. Very minimal discomfort and well worth it. I wish I had done this a long time ago. I recommend the retrodermal suction procedure for anyone with underarm sweating. Dr Karamanoukian is very friendly and has great bedside manners.

Gina V, Buffalo, NY, Jul 23rd 2010

I did my research online and tried biofeedback and accupuncture for hyperhidrosis which did not help. I took Hyperhidrosis Fighter which has significantly reduced the amount of sweat from my palms and feet. I like this all natural product and have recommended it to others with excessive sweating.

Dana P, New York, NY, Jul 14th 2010

I came to see Dr karamanoukian for retrograde suction curettage (RSC). The procedure has worked for me as I decided to have this over micro ETS. Both were offered to me as options and after discussing it with Dr Karamanoukian I thought this was the best option and it turned out to be a good one for me. I can't wait to start teaching this season without the armpit sweating and staining of my shirts. No more embarrassment.

Charles L, Erie, PA, Jun 30th 2010

I had a bilateral sympathectomy last year. At first I was afraid it didn't work because I could still sweat. I didn't realize this is normal. Before I could sweat through 2 shirts just sitting there. Now the only time I ever sweat is when I should like when I exercise. Otherwise I am completely dry - hands feet and armpits I purposely waited until after summer to put up my testimonial because I wanted to see how different this summer would be. It was amazing not having to worry about sweat stains or smelly sandals due to excessive sweating. I am so happy with my results I would highly recommend this surgery to anyone who has excessive sweating and has tried everything else. The staff was very friendly and the doctor was not only thorough but very sensitive about this embarassing issue. I cannot thank the staff and Dr. Karamanukian enough for all their hard work during this life changing surgery

Shannan G, Buffalo, NY, Jun 9th 2010

I had a bilateral sympathectomy last year. Atfirst I was afraid it didn't work because I couldstill sweat. I didn't realize this is normal.Before I could sweat through 2 shirts just sittingthere. Now the only time I ever sweat is when Ishould like when I exercise. Otherwise I amcompletely dry - hands feet and armpits Ipurposely waited until after summer to put up mytestimonial because I wanted to see how differentthis summer would be. It was amazing not having toworry about sweat stains or smelly sandals due toexcessive sweating. I am so happy with my resultsI would highly recommend this surgery to anyonewho has excessive sweating and has triedeverything else. The staff was very friendly andthe doctor was not only thorough but verysensitive about this embarassing issue. I cannotthank the staff and Dr. Karamanukian enough forall their hard work during this life changingsurgery

Shannon G, Buffalo, NY, Oct 10th 2009

I had a great experience with my procedure at the Center for Excessive Sweating. The doctor is great and he gave me all options went over everything several times until he has satisfied that this is what I wanted to do. My ETS procedure went well and I am very very happy. I recooomend him highly.

Jennifer D, Wheatfield, NY, Jul 13th 2009

I found out about this doctor on the web and didnt realize that they were doing this type of surgery here in this area. I had sympathectomy 3 years ago and still have dry hands and underarms. Thank you for helping so many people out.

John D, Buffalo, NY, Jul 7th 2009

I have been evaluated and treated at the Center for Excessive Sweating and the doctor is fabulous spends an inordinate amount of time explaining hyperhidrosis in detail and giving a treatment plan including all options - I had Botox and he got it passed through my insurance. I am now considering sympathectomy and he has spent two half hour sessions since my initial consultations to explain the procedure potential side effects and has directed me to read as much about the procedure as I could and brought me back to the office to discuss the procedure and side effect of compensatory sweating - Dr. Karamanoukian is great and one of a kind surgeon - he does not rush anyone through the process and welcomes those who bring in a lot of questions.

Gary W, Orchard Park, NY, Jul 3rd 2009

I took my son there for an evaluation and he was recommended Botox after a long discussion of the options. My son is very happy. I was very glad tohave the doctor do all the work to get it covered by insurance. The dermatologist that we went to wanted 800 dollars for the Botox. I recommend Dr. Karamanoukian highly.

Jessica G, Gowanda, NY, Jun 19th 2009

I had my consultation. I was very pleased with the time the doctor spent discussing all of my options in detail and also gave me a lot of literature and a handout to take home. Nothing is rushed and there is no push to have surgery at this place. He is very thorough and made me feel like an expert myself when I left the office.

Joanne R, Buffalo, NY, Jun 18th 2009

Doctor Karamanoukian - thanks for addressing my sweating problem. I had a great consultation and learned more than I thought I wanted to know about hyperhidrosis. It was very detailed and I feel like I am an expert and can deal with this problem. I will follow the treatment you have suggested and will be more patient in dealing with my insurance. I apologize if I was hasty in asking you to do the procedure next week. I understand your conservative approach. I look forward to coming back for more discussion about my condition.

Tyler D, Fredonia, NY, May 16th 2009

I am glad I came to see you at the Center for Excessive Sweating. I was at the Cleveland Clinic and I felt that you have more experience because I did talk to 2 patients in the waiting room while I was waiting to see you. I am very impressed and can't wait to have the procedure. I got the impression from you and your patients that you are very conservative and try all other options and make sure that patients understand this thing with compensatory sweating. One patient in the wait room has some compensatory sweating but he was totally OK with it because he said you talked to him about this ad nauseum before he scheduled his case. He said it was the calculated risk he took. I want to come back and finalize my decision to get the sympathectomy procedure. I have read about it as you have suggested and I still think that the ETS procedure is the best thing for me. I realize taht I will have compensatory sweating because the sweating involves my head and neck but I can't live like this any longer. It creates too much of a problem for me in my personal life and at work. Thank you very much for spending the extra time to talk to me about all of my options and for suggesting that I wait and think about the procedure before signing up. I have made the decision not to go to Cleveland Clinic and have it done by you. Your office staff (Debbie) is great in answering all of my hyperhidrosis questions and insurance issues.

Alfred K, Rochester, NY, May 15th 2009

I saw Dr. Raffy karamanoukian for excessive sweating. He is wonderful and I agree on everything written about him on yelp.com

Vardan H, Los Angeles, CA, May 8th 2009

Doctor. Thank you for your help in finding me a doctor down here who is an expert in hyperhidrosis. You have been very gracious with your time in answering my emails. Cheers.

John W, Sydney Australia, May 8th 2009

I tried everything you suggested and I am now ready to have the procedure. I have spoken to my doctor and we did the research and I plan to travel to Buffalo to have the procedure. Your reputation is excellent. I did speak to several of your patients and they all loved the procedure. Two had compensatory sweating and they said that you went over that with them several times before the surgery as a known side offect of this procedure and they are silll very pleased and would do it all over again. I realize that I could get compensatory sweating and I have decided to get the procedure done. I can't see living with this problem forever. I would rather have compensatory sweating than this disabling dripping sweat from my hands.

Fred W, Miami, FL, May 8th 2009