 While in Samsun, he worked with his brother but eventually worked in a post office.In an attempt to escape the massacres of Armenians in the Ottoman Empire, he left to the United States in October 1895 and settled in Worcester, Massachusetts, and took a job in the local wire factory.It was at the mill that Dr. Kazanjian first displayed the natural dexterity that would serve him well in the field of plastic surgery.