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

Thank you for answering my email regarding hyperhidrosis and for giving me a lengthy and very understandable explanation of the problem and the treatment options. It was well worth the consultation and after reading more about this condition I am glad that I came to see you for it. My dermatologist has been trying things for 2 years none of which worked and Botox lasted only 6 weeks and I had to pay for it dearly. I am ready to have the procedure. I wanted to let others know that I was very impressed with the care I have had at the Center for Excessive Sweating.

Jerome H, Orchard Park, NY, May 6th 2009

Dr. Raffy Karamanoukian at KareMD.com helped me with my hyperhidrosis. I had Botox twice in Santa Barbara and did not last more than 2 months. He did the axillary dermosuction procedure in the office and it has been 6 months and things are great. I don't sweat there and my underarms are dry. I love wearing my light color shirts when I teach and I am not ashamed to raise my hands any more. Best of all the procedure was less comfortable than the Botox procedures I had and it cost as much as two Botox treatments. Hurray for Dr. Raffy karamanoukian and I have told my doctor about him and all of my friends. He has great reviews on yelp.com and that is where I found out about him. He is a 1 and a half hour drive from Santa Barbara and quite convenient for me to get to his office down Pacific Coast Highway ... For a red carpet treatment see this great doctor. He is a Board Certified Plastic Surgeon.

jason d, Santa Barbara, CA, May 3rd 2009

Thank you for referring me to your colleague in California. He treated me for axillary hyperhidrosis. He did a great job. Painless Botox. Returned to work 30 minutes later. Very wonderful doctor. Price was very reasonable. Dr. Raffy Karamanoukian is great.

Garo R, Alhambra, CA, May 2nd 2009

I had Botox injection at the Center for Excessive Sweating. Painless. Great staff. Impressed by the doctor and how well he explained the hyperhidrosis thing to me. All options. All treatments in details. Had a very positive experience. This place is not like a spa where you go for Botox injection by a family doctor. He knows what he is doing. I give him high marks as he is the BEST hyperhidrosis doctor in New York.

Linda E, Batavia, NY, Apr 25th 2009

I had the STITCH procedure and it was very successful. I am 3 years out. I want to thank Dr. karamanoukian. I just got engaged and feel very greatful.

Janet M, Boson, MA, Apr 24th 2009

I had Botox for my hyperhidrosis of the feet. Great care at the Center for Excessive Sweating. Very compassionate and caring phsician. Very very gentle and skilled in the Botox treatment. I had it done by a dermatologist and this was a better experience by far. I like the place because they specialize in hperhidrosis.

Gerard J, Cheektowaga, NY, Apr 23rd 2009

I had suction curettage by Dr. Raffy Karamanoukian for underarm sweating. It was in the office was easy to do and worked very well for me. It was well worth the money. This doctor is fabulous. www.KareMD.com - I heard very good things about him on yelp.com

Leonard T, Alhambra, CA, Apr 22nd 2009

I met Dr. Raffy Karamanoukian at a Botox informational seminar in his office. I had Botox for excessive underarm sweating. He is excellent. Office is great. Staff is very nice. His prices are very reasonable for the area.

Makala E, UCLA, CA, Apr 21st 2009

Add me as yet another who truly admires this man. Dr. H. Karamanoukian is a compassionate physician who takes the time to really acquaint himself with you. A kind and caring man who is highly knowledgeable in his speciality. He and his staff make you feel like you are their only patient.

Daniel M, Buffalo, NY, Apr 19th 2009