Phlebologist Doctor Karamanoukian Williamsville, New York 14221 » Facial Injections: Info, Prices, Photos, Reviews, Q&A

Name: Hratch Karamanoukian, MD, FACS
Last name: Karamanoukian
Gender: male
Began aesthetic medicine in: 1999
Years experience: 24
Primary Specialty: Phlebologist
Business: Vein Treatment Center
Address: 5225 Sheridan Dr.
Phone: +1 716-839-3638
City: Williamsville
State: New York
Zip Code: 14221
Country: US
Additional Address: Clarence, NY
East Amherst, NY
Statement: Dr. Hratch Karamanoukian, MD, FACS is a internationally renowned triple-board-certified physician with over two decades of experience, specializing in thoracic surgery, minimally-invasive cardiac surgery, and vein disorders. His renowned clinic, the Vein Treatment Center, is based in the greater Buffalo, New York area. There, Dr. Karamanoukian offers procedures addressing varicose veins and spider veins, deep vein thrombosis, phlebitis, and many more.

After receiving his MD from the University of Southern California, Dr. Karamanoukian completed two residencies (general surgery and thoracic surgery) at University at Buffalo before pursuing a fellowship in fetal surgery at John R. Oishei Children’s Hospital of Buffalo. He holds board certification in three specialties, including thoracic surgery as well as venous and lymphatic medicine.

Dr. Karamanoukian has been passionate about research since undertaking his fellowship, and has since published multiple books and over 100 scientific articles in peer reviewed journals. He is also currently working as a consultant on research studies funded by the National Institute of Health In addition to performing surgery on his Buffalo patients, Dr. Karamanoukian treats clientele throughout the Middle East and volunteers his skills on medical missions across the globe.
Consulting Fees: -1$
Consultation note: Advanced Aesthetic Medical Spa and Vein Treatment Center
Has Sponsored Offer : No

Clinical Privileges:

Kaleida Health, Catholic Hospitals

Education:

Undergraduate: Biochemistry, UCLA
Medical: MD, University of Southern California

Postdoc Training:

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

Board Certification:

Hratch Leon Karamanoukian (ABMSUID – 5902380)
Viewed: 2/16/2009 CST

Day of birth:
4/13/1964

Status: Alive
Certification:
American Board of Surgery

Surgery – General
Status: Certified

Active Time-Limited Recertification 12/5/2008 – 7/1/2019

Active Time-Limited Initial Certification 11/3/1998 – 7/1/2009
American Board of Thoracic Surgery

Thoracic Surgery – General
Status: Certified

Active Time-Limited Initial Certification 6/8/2001 – 12/31/2011
Education: 1990 MD (Doctor of Medicine)
Location: 151 Jackman Ln
0Elma, NY 14059-9444 (United States)

GPS coordinates on map: 42.977538,-78.7391674

Primary location:

Location name: Buffalo
State: NY
Country: US
Map point: 42.8869,-78.87789917

Hratch Karamanoukian, MD, FACS

Treatments:

Asclera
EVLT
Sclerotherapy
Varithena
VenaSeal

RealSelf Info

Awards:

Compassionate Doctor Award- 2018
America’s Most Honored Professionals- 2018
Patient’s Choice Award- 2018

Rating: 4.8
Profile views: 52991
Answer count: 6128
Review count: 52
5 star count: 3
Total star count: 3
Star rating: 2.9365390298238
Anonymous votes: 434
Offer count: 0
Profile created: Dec 28, 2008
Profile modified: Jun 2, 2022
Profile promotion: No
Profile inactive: No
Premier status: Free
Tier: Pro
RealCare Promise: No
Directory link: Board Certified Phlebologist
RealSelf’s PRO: No
Doctor Designation Start Time: Dec 18, 2017
Doctor Designation End Time: Jan 1, 2033

Locations

Buffalo, NY, US. GPS coordinates: 42.8869,-78.87789917

Latest ratings of treatments

EVLT (Aug 2018) – Overall rating: 3/5
miraDry (Apr 2018) – Overall rating: 5/5
Sclerotherapy (Sep 2023) – Overall rating: 5/5
Sclerotherapy (Sep 2023) – Overall rating: 5/5
Lip Augmentation (Sep 2017) – Overall rating: 5/5
Sclerotherapy (Sep 2023) – Overall rating: 5/5
EVLT (Sep 2023) – Overall rating: 5/5
Juvederm (Oct 2017) – Overall rating: 5/5
Sclerotherapy (Sep 2023) – Overall rating: 5/5
Sclerotherapy (Sep 2023) – Overall rating: 5/5
Botox (Sep 2023) – Overall rating: 5/5
Sclerotherapy (Sep 2023) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 4/5, Payment process: 4/5, Time spent with patient: 4/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
EVLT (Aug 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Feb 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Mar 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Ultherapy (Nov 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Feb 2015) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Feb 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Blue Peel (Sep 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
miraDry (Jul 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
miraDry (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Belotero (Sep 2017) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
miraDry (Feb 2017) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
miraDry (May 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Apr 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Botox (Mar 2015) – Overall rating: 5/5Wait times: 5/5, Doctor’s bedside manner: 5/5, Payment process: 5/5, Time spent with patient: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Feb 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sclerotherapy (Mar 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)

Latest Prices

miraDry Prices

$1700 – Apr 11, 2018
$1500 – Jul 19, 2013 – Buffalo, NY
$3000 – Sep 2023 – Williamsville, NY
$1300 – Feb 11, 2017 – Williamsville, NY
$1500 – May 1, 2015 – Buffalo, NY
$1300 – Feb 11, 2017 – Williamsville, NY
$1700 – Apr 11, 2018
$3000 – Oct 2018 – Williamsville, NY
$1700 – Apr 11, 2018
$1292 – Jan 28, 2017 – Orchard Park, NY
$1500 – Jul 19, 2013 – Buffalo, NY
$1500 – May 1, 2015 – Buffalo, NY
$1300 – Feb 11, 2017 – Williamsville, NY
$1300 – Feb 11, 2017 – Williamsville, NY
$1300 – Feb 11, 2017 – Buffalo, NY
$1292 – Jan 28, 2017 – Orchard Park, NY
$3000 – Feb 2016 – Williamsville, NY
$1500 – May 1, 2015 – Buffalo, NY
$1500 – May 1, 2015 – 5225 Sheridan Drive Williamsville, NY 14221
$1500 – May 15, 2015 – Clarence, NY
$3000 – Nov 2012 – Williamsville, NY
$3000 – Apr 2012 – Williamsville, NY
$3000 – Apr 2012 – Williamsville, NY

Sclerotherapy Prices

$15 – Mar 6, 2015 – Clarence, NY
$500 – Feb 4, 2015 – Buffalo, NY
$500 – Apr 2, 2015 – Clarence Center, NY
$500 – Dec 12, 2014 – Clarence, NY
$500 – Feb 24, 2015 – Clarence, NY
$500 – Sep 2023 – Buffalo, NY
$3601 – Dec 30, 2014 – Clarence, NY
$500 – Apr 2, 2015 – Clarence Center, NY
$500 – Feb 4, 2015 – Buffalo, NY
$3601 – Dec 30, 2014 – Clarence, NY
$500 – Jul 2022 – Buffalo, NY
$500 – Oct 2018 – Williamsville, NY
$600 – Oct 2018 – Williamsville, NY
$15 – Mar 6, 2015 – Clarence, NY
$3600 – Dec 30, 2014 – Clarence, NY
$500 – Dec 12, 2014 – Clarence, NY
$500 – Apr 2, 2015 – Clarence Center, NY
$500 – Apr 2, 2015 – Clarence Center, NY
$500 – Dec 12, 2014 – Clarence, NY
$500 – Dec 12, 2014 – Clarence, NY
$15 – Mar 6, 2015 – Clarence, NY
$15 – Mar 6, 2015 – Clarence, NY
$15 – Mar 6, 2015 – Clarence, NY
$500 – Feb 24, 2015 – Clarence, NY
$500 – Feb 24, 2015 – Clarence, NY
$3600 – Dec 30, 2014 – Clarence, NY
$500 – Mar 2013 – Williamsville, NY
$600 – Mar 2013 – Williamsville, NY
$500 – Feb 2013 – Buffalo, NY

Lip Augmentation Prices

$500 – Sep 21, 2017 – Williamsville, NY
$500 – Sep 21, 2017 – Williamsville, NY
$500 – Sep 21, 2017 – Williamsville, NY
$500 – Sep 21, 2017

Juvederm Prices

$600 – Oct 6, 2017 – Williamsville, NY
$600 – Oct 6, 2017 – Williamsville, NY
$600 – Oct 6, 2017 – Williamsville, NY
$600 – Oct 6, 2017

Botox Prices

$2000 – Feb 27, 2015 – Clarence, NY
$300 – Jan 12, 2015 – Williamsville, NY
$500 – Oct 2018 – Buffalo, NY
$320 – Mar 2, 2015 – Williamsville, NY
$300 – Jan 12, 2015 – Williamsville, NY
$320 – Mar 2, 2015 – Williamsville, ny
$2000 – Feb 27, 2015 – Clarence, NY
$2000 – Feb 27, 2015 – Clarence, NY
$300 – Jan 12, 2015 – Williamsville, NY
$600 – Feb 2014 – Williamsville, NY
$600 – Feb 2014 – Williamsville, NY
$500 – Nov 2012 – Buffalo, NY

Blue Peel Prices

$1200 – Sep 26, 2014 – Buffalo, NY
$1200 – Sep 26, 2014 – Buffalo, NY
$1200 – Sep 26, 2014 – Buffalo, NY
$1200 – Sep 26, 2014 – Buffalo, NY
$1200 – Sep 26, 2014 – Buffalo, NY

Belotero Prices

$500 – Sep 15, 2017 – Williamsville, NY
$500 – Sep 15, 2017 – Williamsville, NY
$600 – Apr 1, 2016 – Clarence, NY
$600 – Apr 1, 2016 – Clarence, NY

Botox for Hyperhidrosis Prices

$600 – Sep 2023 – Williamsville, NY
$320 – Mar 2, 2015 – Williamsville, NY
$600 – Jul 2022 – Williamsville, NY
$320 – Mar 2, 2015 – Williamsville, NY

Mole Removal Prices

$850 – Aug 29, 2018
$850 – Aug 29, 2018
$850 – Aug 29, 2018

Injectable Fillers Prices

$500 – Sep 21, 2017 – Williamsville, NY
$500 – Sep 21, 2017 – Williamsville, NY

Vein Treatment Prices

$500 – Feb 4, 2015 – Buffalo, NY
$500 – Feb 4, 2015 – Buffalo, NY

Other Prices

$500 – Oct 2016 – Buffalo, NY
$600 – Apr 1, 2016 – Clarence, NY
$500 – Dec 12, 2014 – Clarence, NY
$500 – Feb 4, 2015 – Buffalo, NY
$320 – Mar 2, 2015 – Williamsville, NY
$2000 – Feb 27, 2015 – Clarence, NY
$500 – Feb 24, 2015 – Clarence, NY
$500 – Feb 4, 2015 – Buffalo, NY
$500 – Jul 2, 2014 – Clarence, NY
$600 – Oct 3, 2014 – Advanced aesthetics medical spa Williamsville New York
$500 – Jul 2, 2014 – Clarence, NY
$500 – Jul 2, 2014 – Clarence, NY
$200 – Jul 2014 – Williamsville, NY
$200 – Mar 2013 – Williamsville, NY
$800 – Mar 2013 – Vein Treatment Center
$500 – Feb 2013 – Buffalo, NY

Velashape Prices

$600 – Oct 3, 2014 – Advanced aesthetics medical spa Williamsville New York
$600 – Oct 3, 2014 – Advanced aesthetics medical spa Williamsville New York

Radiesse Prices

$500 – Jul 2, 2014 – Clarence, NY

Doctor’s answers

Question

Answer Header & Date

Answer Snippet

Large blue veins all over hips and legs at 21?

Reticular veins
Aug 25, 2017

If venous ultrasound Doppler is normal, you can get these treated with sclerotherapy.You don’t have to have parents with varicose veins, reticular veins or spider veins to have the same.Hratch L Karamanoukian MD FACScertified vein specialist from ABVLM

3 months post RFA. Experiencing pain, any idea what could be wrong?

Pulling sensation after VNUS Closure
Aug 25, 2017

The “ablated vein shrinks radially (smaller diameter) and also along the longitudinal axis of the body causing the “pulling sensation”.H Karamanoukian MD FACS

I Have Been Using Obagi-C RX System with Hydroquinone 4%. Is This Product Safe on the Fa

Brightening Kit
Aug 18, 2017

Hydroquinone and non HQ based topicals are great and I recommend Melarase cream which has HQ system (PM) and non HQ components (AM). I also recommend an Opti-Ceramide cream to proper hydration and moisturization of the skin (Elevase) and sun block and UV protection (Spectrase). You can get all of these in the Brihtening Kit (see below) which makes it easy to use and follow os a daily regimen.Best

Why Would Obagi Nu Derm Cause Excessive Peeling on my Nose,to the Point of Raw and Bleed

Retinoids 101
Aug 18, 2017

If this product is causing excessive peeling or raw skin, you should stop using it.Read about retinoids and choose a gentle pro=uct on Retinoids 101 (see link).I recommend a Level 1 (mild) retinoid product from KareSkin instead once the scabs have healed. Best

Starting the Obagi ZO. Can this be done with on a gradual process so minimizing peeling

Obagi ZO or Melarase
Aug 18, 2017

I recommend Melarase cream as it is gentle and effective. i also have my patients use it in conjunction with an Opti Cermaide cream (Elevase) to provide deep moisturization and hydration.H Karamanoukian MD FACS

Temple veins

Treatment for temple veins
Aug 17, 2017

The temple veins shown in the picture are best treated with microphlebectomy. Sclerotherapy is likely to leave hyperpigmentation.BestH karamanoukian MD FACS

How to get rid of visible veins and “translucent” skin?

Thin sin, veins, and hyperpigmentation
Aug 17, 2017

I recommend Scler-X for hyperpigmentation relief and Sclerovase topical creams that are formulated for patients with venous disease. BestH karamanoukian MD FACS

Blue veins – laser or sclerotherapy?

How do you treat reticular veins?
Aug 17, 2017

The picture shows reticular veins and small varicose veins. Reticular veins are most successfully treated with foam sclerotherapy.Varicose veins are treated with microphlebectomy. BestDr Karamanoukian ABVLM Certified Vein Specialist

Redarkening after a chemical peel, how can I fix this?

Dark skin types are most prone to hyperpigmentation.
Aug 17, 2017

Dark skin types are most prone to hyperpigmentation.An appropriate chemical peel may help start the process of treating uneven skin pigmentation.

For uneven skin pigmentation I also recommend a skin regimen prior to to prepare the skin for the peel.
Melarase AM cream is great to reduce hyperpigmentation and to correct uneven skin pigmentation.
I also recommend Pigmentation Correction Complex to reduce hyperpigmentation of the skin.
Also avoid sun exposure to prevent inflammation and sk…

Had a chemical peel almost two weeks ago is it too soon to get a European facial?

Redarkening after a chemical peel
Aug 17, 2017

An appropriate chemical peel may help start the process of treating uneven skin pigmentation.

How long should one wait before their next Jessner peel?

How long should one wait before their next Jessner peel?
Aug 17, 2017

I recommend that you wait a month in between.For uneven skin pigmentation I also recommend a skin regimen prior to to prepare the skin for the peel.
Melarase AM cream is great to reduce hyperpigmentation and to correct uneven skin pigmentation.
I also recommend Pigmentation Correction Complex to reduce hyperpigmentation of the skin.
Also avoid sun exposure to prevent inflammation and skin burn injury for at least 4 weeks. Spectrase is highly effective.
Best
H Karamanoukian MD FACS

Light chemical peel. My forehead is tanned and my face is super dry. Is this common?

Light chemical peel
Aug 17, 2017

An appropriate chemical peel may help start the process of treating uneven skin pigmentation.

I had a chemical peeling treatment one year ago. How can I treat these side effects?

How do I treat the side effect of hyperpigmentation?
Aug 17, 2017

An appropriate chemical peel may help start the process of treating uneven skin pigmentation.

Chemical peel for Asian skin? I’m in my late 50s.

Asian skin is prone to hyperpigmentation and PIH.
Aug 17, 2017

Asian skin is prone to hyperpigmentation and PIH.For uneven skin pigmentation I also recommend a skin regimen prior to to prepare the skin for the peel.
Melarase AM cream is great to reduce hyperpigmentation and to correct uneven skin pigmentation.
I also recommend Pigmentation Correction Complex to reduce hyperpigmentation of the skin.
Also avoid sun exposure to prevent inflammation and skin burn injury for at least 4 weeks. Spectrase is highly effective.
Best
H Karamanoukian MD FACS

I am 21 year old girl with dark skin. Is chemical peeling good to whiten the skin? Will

Dark skin types are prone to PIH and hyperpigmentation
Aug 17, 2017

Dark skin types are prone to PIH and hyperpigmentation.For uneven skin pigmentation I also recommend a skin regimen prior to to prepare the skin for the peel.
Melarase AM cream is great to reduce hyperpigmentation and to correct uneven skin pigmentation.
I also recommend Pigmentation Correction Complex to reduce hyperpigmentation of the skin.
Also avoid sun exposure to prevent inflammation and skin burn injury for at least 4 weeks. Spectrase is highly effective.
Best
H Karamanoukian MD FACS

Latest Before And After Photos

Last updated on 11/23/2023