Dr. Douglas Fife, Dr. Mac Machan, and Dr. Steve Peine are few of only a few Mohs micrographic surgeons in the Las Vegas and St. George areas who are eligible for membership in the American College of Mohs Surgery (ACMS). All members of the ACMS were required to complete a one-year fellowship in Mohs micrographic surgery after Dermatology Residency, in which they received intensive training in surgical removal and reconstruction of difficult skin cancers on the face.
We are also currently the only center in Las Vegas & St. George performing Mohs surgery for Melanoma with same-day immunostaining in order to achieve the highest possible local cure rate. We are routinely performing MART-1 immunostains for both invasive melanoma and melanoma in-situ. The combination of Mohs surgery with immunostaining can provide a great benefit to patients who receive same-day histologic confirmation of tumor clearance and reconstruction during the same visit.