Buffalo Phlebologist
5225 Sheridan Dr.
Williamsville, New York 14221 US
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Treatment Pricing

Specials and Deals

$100 Off
$100 off injectable fillers
$500 Off
$500 off ThermiVa in Williamsville, NY
$1350
August special 1st miraDry for underarms $1350
51K profile views
18 years experience
6K expert answers
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RealSelf community says

"I am very pleased with Dr.K and his team as well as the beautiful results!!" "Dr. Katamanoukian and his staff provided excellent care."

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Reviews

(44)

4.9 out of 5 stars 4.9 stars from 44 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Vein Treatment

another great experience!

I have been a patient of Dr. Karamanoukian for over 10 years and have been and continue to be pleased with the results of all procedures. He and his team have always taken wonderful care of me. Most recently I had a microphlebectomy of a bulging vein on the temple of my right side. It has been almost a month since the treatment and the result is great.

5 out of 5 stars Vein Treatment

I waited too long

Excellent! My only regret is waiting as long as I did. I had varicose veins after having four kids that were very painful. I lost so much fluid after treatment (treatment paid by insurance) that I dropped a shoe size and tight size. I feel so much better! I amazingly high-tech, clean, very professional. Dr. K is awesome!

5 out of 5 stars miraDry

MiraDry Definitely Works! - Orchard Park, NY

The doctor was very patient. Friendly. Very professional and provided necessary information about the procedure. We talked and laughed a lot during the procedure. It was a job well done. Thank you.

5 out of 5 stars miraDry

Embarassment That Didnt Go Away - Buffalo, NY

My whole life i struggled with severe hyperhidrosis in the underarms. I tried every deodorant and antiperspirant there was available. I got to a point where I spoke to my primary care doctor about it. He started me on a topical prescription antiperspirant that still did nothing for my excessive sweating. I finally gave up all hope until I heard about the miradry procedure. I found a website...

5 out of 5 stars miraDry

38 Year Old Woman Sweat Badly in the Groin Area. Tried Everything.

Dr Karamanoukian is very knowledgeable and really cares about his patients comfort level. He has helped me treat and overcome my excessive sweating. I would recommend anyone to go to him

5 out of 5 stars Botox

Of All The Treatment Centers, I Chose To Go Here!

Dr. Karamanoukian is extremely knowledgeable....he is also very articulate and makes sure your improvements are gentle and natural. There's nothing better than having a doctor that knows his product, treats you like you are the most important person in front of him and confident. His staff are some of the nicest and kindest people out there. With all of the Medical Spas in the area, I...

5 out of 5 stars miraDry

I had a fantastic experience - Williamsville, NY

I recently had the MIRADRY procedure, He got me in for it within 4 days after consultation, It has changed my quality of life for the better. I noticed instantly a change. fantastic guy, very informative, great staff, recommended to anyone !

5 out of 5 stars Ultherapy

55 Year Old - Buffalo, NY

He's an excellent doctor and his Physician Assistants who were helping him were great as well.

5 out of 5 stars Botox

41 Years Old Wanting to Look 41 Years Young! - Buffalo, NY

UNBELIVABLE!!! Very educated and personable

5 out of 5 stars Botox

23 Years Old with a Very Stubborn Line Between my Eyebrows! - Williamsville, NY

The doctor and staff were very accommodating, professional, and educational about the procedure and care for post procedure. I was very impressed.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Surgery - General, American Board of Thoracic Surgery and American Board of Venous & Lymphatic Medicine

Memberships

Fellow, American College of Surgeons (FACS)

Consultation Fee

Advanced Aesthetic Medical Spa and Vein Treatment Center

Awards & Recognition

RealSelf Top Doctor

Hospital Privileges

Dr. Karamanoukian has hospital affiliations at Kaleida Health, Catholic Hospitals .

Education

  • Undergraduate & Medical School

    Undergraduate: Biochemistry, UCLA
    Medical: MD, University of Southern California
  • Post-Medical School Training

    Residencies:
    General Surgery, University at Buffalo
    Thoracic Surgery, University at Buffalo
    Fellowship: Fetal Surgery, Childrens Hospital of Buffalo

Treatments offered at Vein Treatment Center

Blog Posts and Articles

What is the great saphenous vein?

The great saphenous vein is the longest superficial vein in the body. I travels from the ankle on the medial part of the leg and thigh and drains into the femoral vein in the thigh to form the common femoral vein. The great saphenous vein is also called the long saphenous vein.Hratch L Karamanoukian MD FACS certified vein specialist from ABVLM and double bard certified surgeon

What is corona phlebectatica?

Corona phlebectatica is a term used by vein specialists to describe a dense network of spider veins, reticular veins and varicose veins around the ankle. Literally translated, corona phlebectatica means "crowning of the ankle with veins".Corona = CrownCorona phlebectatica indicated that the patient has chronic venous insufficiency.Hratch L Karamanoukian MD FACScertified vein specialist from ABVLM and double bard certified surgeon

What is phlebitis? What is thrombophlebitis?

Phlebitis means inflammation of a vein. Phleb means veins. itis means inflammation.Thrombophlebitis means phlebitis due to a thrombus, also knows as a clot. Thrombophlebitis means inflammation of a vein segment due to a clot. Superficial vein thrombophlebitis means inflammation of a superficial vein due to a clot. Deep vein thrombophlebitis means inflammation of a deep vein due to a clot.H Karamanoukian MD FACScertified vein specialist from the ABVLM and double board certified surgeon 

How many sessions of miraDry are needed?

The company that manufactures miraDry recommends 2 procedures spaced 3 months apart. In some practices, such as ours, we have noted that 90% of our patients require only a single miraDry session to achieve reduced hyperhidrosis and therefore, we recommend a single miraDry session. I have been performing this procedure since may 2011 and use the highest energy level, Level 5, in almost every patient. Not only that, I have found that treating the underarms TWICE in the first session reduces ...

miraDry for bromhidrosis

I have taken care of hyperhidrosis since 1999, establishing the Center for Excessive Sweating. Hyperhidrosis can occur with or without bromhidrosis. The theory is that either excessive moisture causes bacterial overgrowth or oily glands (apocrine) secrete fatty acid whose metabolism causes malodor. The first treatments available were Botox which reduced hyperhidrosis, and thereby, reduced moisture which promoted odor. Once miraDry became popularized, physicians noticed that some patients...

Show More Articles

Most popular answers from Hratch Karamanoukian, MD, FACS

Narrow by:

Will Botox and Restylane Make my Face Look Older Once Wears Off?

The best way to answer your question about "what your face will look like once the effect of Botox and/or Restylane wear off" is to ask you the... READ MORE

Can Ultherapy Cause Natural Face Volume Loss (Not from Fat Graft or Fillers, but Natural Fat)?

I have been doing Ultherapy since May 2010 and have done hundreds of patients with great outcomes. It has a very high satisfaction rate among my... READ MORE

Sclerotherapy vs Laser Vein Therapy - Which is Best?

We are often asked by patients this type of question during the consultation - what is better, sclerotherapy or laser vein therapy? I turn the... READ MORE

What are Common Spider Vein Treatment Side Effects?

You asked about side effects and most importantly one should remember that any of the sclerosant solutions can cause hyperpigmentation which in rare... READ MORE

Plastic Surgery Patients Who Smoke

After careful examination of the scientific literature, I was able to find the following to have deleterious effects on wound healing and wound... READ MORE

Botox Injections on the Scalp to Treat Hyperhidrosis?

Scalp Hyperhidrosis and Botox, Excessive Sweating - Treatment for Scalp Sweat Botox can work for hyperhidrosis of any site and requires at least 100... READ MORE

What Treatments Are Available for Excessive Sweating?

It is normal to sweat when we exercise. It is not normal to sweat when we are sitting in an air conditioned office and we experience excessive... READ MORE

How to treat Ultherapy welting?

"Welting" can occur if the transducer is not perfectly perpendicular to the skin. It is usually a transient event  and this effect is minimal in ... READ MORE

How does Alma's Laser Clearlift compare to Ultherapy?

ClearLift is a 1064 nm Q switcched laser. ClearLift and Ultherapy can be used on all skin types, namely Fitzpatrick I - VI. ClearLift and Ultherapy... READ MORE

Hyaluronidase Risks

Hyaluronidase is used to dissolve products such as Juvederm and it does not seem to have untoward side effects as you describe. It works within 48... READ MORE

Videos by Hratch Karamanoukian, MD, FACS

Hratch Karamanoukian, MD, FACS has shared 1 video.

Narrow by:

Giant Leg Varicose Vein Treatment

Varicose veins and venous insufficiency can be corrected with medical management, Venasmart compression stockings, Varicosamin, Venefit, EVLT, microphlebectomy, and Clarivein. Dr. Karamanoukian examines a varicose vein of the leg and thigh. WATCH VIDEO

Qualifications
Experience
Practicing for 18 year.
Board Certifications
Board-certified by the American Board of Surgery - General, American Board of Thoracic Surgery and American Board of Venous & Lymphatic Medicine
Memberships
Fellow, American College of Surgeons (FACS)
Consultation Fee

Advanced Aesthetic Medical Spa and Vein Treatment Center

Awards & Recognition
RealSelf Top Doctor
Hospital Privileges
Dr. Karamanoukian has hospital affiliations at Kaleida Health, Catholic Hospitals .
Education
  • Undergraduate & Medical School

    Undergraduate: Biochemistry, UCLA
    Medical: MD, University of Southern California
  • Post-Medical School Training

    Residencies:
    General Surgery, University at Buffalo
    Thoracic Surgery, University at Buffalo
    Fellowship: Fetal Surgery, Childrens Hospital of Buffalo

Treatments offered at Vein Treatment Center


Reviews 4.9 out of 5 stars 4.9

Are you a patient of Hratch Karamanoukian, MD, FACS?

5 out of 5 stars Vein Treatment

another great experience!

I have been a patient of Dr. Karamanoukian for over 10 years and have been and continue to be pleased with the results of all procedures. He and his team have always taken wonderful care of me. Most recently I had a microphlebectomy of a bulging vein on the temple of my right side. It has been almost a month since the treatment and the result is great.

5 out of 5 stars Vein Treatment

I waited too long

Excellent! My only regret is waiting as long as I did. I had varicose veins after having four kids that were very painful. I lost so much fluid after treatment (treatment paid by insurance) that I dropped a shoe size and tight size. I feel so much better! I amazingly high-tech, clean, very professional. Dr. K is awesome!

5 out of 5 stars miraDry

MiraDry Definitely Works! - Orchard Park, NY

The doctor was very patient. Friendly. Very professional and provided necessary information about the procedure. We talked and laughed a lot during the procedure. It was a job well done. Thank you.



Will Botox and Restylane Make my Face Look Older Once Wears Off?

The best way to answer your question about "what your face will look like once the effect of Botox and/or Restylane wear off" is to ask you the... READ MORE

Can Ultherapy Cause Natural Face Volume Loss (Not from Fat Graft or Fillers, but Natural Fat)?

I have been doing Ultherapy since May 2010 and have done hundreds of patients with great outcomes. It has a very high satisfaction rate among my... READ MORE

Sclerotherapy vs Laser Vein Therapy - Which is Best?

We are often asked by patients this type of question during the consultation - what is better, sclerotherapy or laser vein therapy? I turn the... READ MORE

What are Common Spider Vein Treatment Side Effects?

You asked about side effects and most importantly one should remember that any of the sclerosant solutions can cause hyperpigmentation which in rare... READ MORE

Plastic Surgery Patients Who Smoke

After careful examination of the scientific literature, I was able to find the following to have deleterious effects on wound healing and wound... READ MORE

Botox Injections on the Scalp to Treat Hyperhidrosis?

Scalp Hyperhidrosis and Botox, Excessive Sweating - Treatment for Scalp Sweat Botox can work for hyperhidrosis of any site and requires at least 100... READ MORE

What Treatments Are Available for Excessive Sweating?

It is normal to sweat when we exercise. It is not normal to sweat when we are sitting in an air conditioned office and we experience excessive... READ MORE

How to treat Ultherapy welting?

"Welting" can occur if the transducer is not perfectly perpendicular to the skin. It is usually a transient event  and this effect is minimal in ... READ MORE

How does Alma's Laser Clearlift compare to Ultherapy?

ClearLift is a 1064 nm Q switcched laser. ClearLift and Ultherapy can be used on all skin types, namely Fitzpatrick I - VI. ClearLift and Ultherapy... READ MORE

Hyaluronidase Risks

Hyaluronidase is used to dissolve products such as Juvederm and it does not seem to have untoward side effects as you describe. It works within 48... READ MORE

Videos by Hratch Karamanoukian, MD, FACS

Hratch Karamanoukian, MD, FACS has shared 1 video.

Narrow by:

Giant Leg Varicose Vein Treatment

Varicose veins and venous insufficiency can be corrected with medical management, Venasmart compression stockings, Varicosamin, Venefit, EVLT, microphlebectomy, and Clarivein. Dr. Karamanoukian examines a varicose vein of the leg and thigh. WATCH VIDEO

Treatments offered at Vein Treatment Center

Treatments offered at Vein Treatment Center

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