Mohs Micrographic Surgery

The Skin Cancer Center

The Skin Cancer Center is conveniently located in the quaint Tacoma suburb of Gig Harbor, an hour from Seattle and 45 minutes from Sea-Tac Airport.  Map and Directions. 


Housed within Harbor Plastic Surgery Center adjacent to St. Anthony Hospital, The Skin Cancer Center has a Medicare-certified ambulatory surgery center which allows patients to have reconstructive surgery following their Mohs surgery (cancer excision) in the same outpatient setting.


The Harbor Plastic Surgery Center ASC is accredited by AAAHC, the most stringent deeming agency for surgery centers.  This accreditation underscores the Center’s commitment to patient safety and continuous quality improvement.

Mohs Surgery

Welcome to The Skin Cancer Center

The Skin Cancer Center, a network of medical specialists providing comprehensive skin cancer care, was founded in 2009 by Justin Piasecki, MD. Dr. Piasecki is the only surgeon in the world who is double board certified by the American Board of Plastic Surgery and the American Board of Facial Plastic and Reconstructive Surgery, and is also a member of the Mohs College.

With this unique training, Dr. Piasecki pioneered plastic micrographic surgery.  This treatment method combines the highest cure rate for basal and squamous cell carcinoma of Mohs surgery, with cosmetic reconstruction, for the most cost effective and convenient approach to skin cancer care.   

The Skin Cancer Center specialists diagnose and treat all types of skin cancer.  Using the Mayo Clinic model of a multidisciplinary team located in the same facility, the Center offers all aspects of skin cancer care, including:

  • Routine skin cancer screening – recommended annually for most and every six months for those who have had skin cancer
  • Biopsy results within 24 hours
  • Multiple treatment options – liquid nitrogen, ED & C, simple excision, radiation, Mohs surgery, plastic micrographic surgery
  • Lymph node dissection

The Skin Cancer Center’s network of providers includes:

  • Puget Sound Institute of Pathology
  • Tacoma Radiation Oncology
  • Franciscan Surgical Associates
  • Harbor Plastic Surgery Center


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