Karin Machnau is a skilled and personable Doctor. She is easy to talk to; direct, compassionate, genuine and lovely! She has removed four "spots" (from my face, thoracic, and thigh) ALL of them were painless and healed well. Only one of them required me to go back in for further and the woman, Natasha, who called to explain it to me was super-patient as I asked her to repeat herself and drilled her with questions. Not once did she make me feel like she was irritated with me or in a hurry. The office staff was also efficient and kind. The office itself is clean and welcoming. The floors are stunning, it's like a yoga studio.