I'm a hard woman to please when it comes to plastic surgery because I have worked in the surgical field for over ten years. I met Dr. Karamanoukian at the hospital after I saw him perform a surgery in the operating room. He was personable, kind, humble, and compassionate. It was exactly what I was looking for after I got botched by another surgeon in the same hospital. Dr. Karamanoukian was the exact same in his office when I came in for a consultation. He allowed me the time to digest my options and gave me clear recommendations, many of which were non-surgical. I felt relieved that I was in his hands and everything has been smooth so far. He is exceptional as a doctor and friend.