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Aptos, CA

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Aptos Medical Arts

3.4 (9 reviews)

By appointment only

Services - Aptos Medical Arts

Laser hair removal

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17 years ago

Dr. Fratianni is truley a healer and cares for your well-being. Not an in-and-out doc for sure.

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Michael J Dacey, MD

Michael J Dacey, MD

4.2(24 reviews)
4.7 mi

After discovering I had an invasive and aggressive squamous cell carcinoma on my chin, I was…read morereferred by my PAMF dermatologist to Dr. Michael Dacey for Mohs surgery. My case apparently is rather rare and he and his colleagues discussed it, all of them having not seen this sort of SCC often in their years of practice. So I was kind of apprehensive about the procedure, wondering what to expect. I was very impressed with Dr. Dacey from the moment he walked into the exam room and introduced himself, looking me directly in the eyes as we shook hands. He went on to explain exactly what was going on with my particular case. He drew a diagram of the area he would be excising, and how he rarely sees this type of aggressive cancer after an initial biopsy that showed a more benign lesion. This squamous cell carcinoma was deep and invading the muscle and nerve. So, it was to my advantage that we caught it early. It can spread to lymph nodes without treatment. Thank goodness the initial lesion was painful and bothersome and on my face. It got me to the doc sooner! His assistants were competent and friendly as they prepped me for the procedure. I felt very much at ease. The exam room was clean and uncluttered and a comfortable temperature. I was pleasantly surprised when I noticed how my eyes or areas of my face didn't have to be draped before and during the surgery as it had been when the plastic surgeon did the previous excision. I'm claustrophobic, so this is a biggie for me. :) Dr. Dacey is so pleasant to talk to. He chatted with me during the procedure and made me feel comfortable as he injected the lidocaine, apologizing for the temporary discomfort. I felt totally at ease. I could tell that he was confident and experienced. After he excised a very deep area of tissue, he then left to look at it microscopically. I stayed in the room with the open excision packed and wrapped while I waited, probably close to an hour. I was told ahead of time that I could bring a book, food, wifi device and even family and friends. My husband actually came and sat in the room with me. Sometimes it takes more than one tissue sample to determine if there's still carcinoma, so there could be multiple specimens and additional wait times. Dr. Dacey came in and gave me the good news that he took a deep enough specimen that showed the area cancer-free. Hurray! However, because of the depth of my lesion and perineural and muscle invasion, he said that radiation would be the next step to zap any cells that may not have been seen. The incision was then sutured and the area bandaged. Stitches will come out next week. All in all, a very easy and uneventful procedure for me. I highly recommend Dr. Dacey if Mohs surgery is said something you need. I can't emphasize enough how personable and competent he is.

Both Doctor and Assistant worked together phenomenally. My Mohs Surgery was explained each step of…read morethe way. I felt completely at ease with the team. Highly recommend Him.

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Michael J Dacey, MD - Dr. Dacey is a dermatologist who specializes in adnexal neoplasms, basal cell and other skn cancers,Botox and laser treatments.

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Dr. Dacey is a dermatologist who specializes in adnexal neoplasms, basal cell and other skn cancers,Botox and laser treatments.

Aptos Medical Arts - dermatology - Updated November 2026

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