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Karina Paci, MD, MBA

Specialties

  • Dermatology
Patient Rating
4.8/5 (Based on 401 Reviews)
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Biography

Dr. Karina Paci, MD, MBA, is a double board-certified and fellowship-trained Mohs micrographic surgeon and dermatologist with expertise in dermatologic oncology, facial reconstruction, and procedural, general, and cosmetic dermatology. She leads Cone Health’s Mohs program, accepting community referrals and delivering personalized, evidence-based care to patients of all ages. As both surgeon and pathologist, she guides patients through every step of their treatment journey, often seeing them multiple times a year and building lasting relationships.

Born and raised in France with Irish heritage, Dr. Paci is fluent in English, French, and Spanish. Outside of work, she enjoys spending time with her three children, gardening, horseback riding, and traveling to Europe. Her commitment to patient-centered care is matched by her passion for making a meaningful impact

“The highest privilege is to be able to go to work every day and feel like I'm making a difference in people's lives.” – Karina Paci, MD, MBA

Profile

Education

Medical School

University of North Carolina at Chapel Hill

Graduate School

University of North Carolina at Chapel Hill, Kenan-Flagler Business School, MBA, Healthcare Administration

Undergraduate

University of North Carolina at Chapel Hill, Kenan-Flagler Business School, BS, Business Administration

Residency

University of North Carolina at Chapel Hill, Dermatology

Fellowship

Johns Hopkins University, Mohs Micrographic Surgery & Dermatologic Oncology

Internships

Grand Strand Regional Medical Center, Myrtle Beach, SC - Transitional Year

Professional Memberships

  • American Academy of Dermatology
  • American Society for Dermatologic Surgery
  • Women’s Dermatologic Society
  • American College of Mohs Surgery

Board Certifications

  • Dermatology 
  • Mohs Micrographic Surgery

Locations

Provider Review Comments

November 29, 2025
Good
November 28, 2025
Highly recommend Dr Paci and will return to see her.
November 26, 2025
Recommending already They were all great to me.
November 22, 2025
This procedure was sorta a Done Deal, as there is only one outcome-she had to get a slice of skin with clean borders before she could stitch my nose up.
November 22, 2025
Dr. Paci did a great job listening to all of my concerns, explaining everything to me and treating me.
November 20, 2025
I constantly felt that I was getting the absolute best of care.
November 14, 2025
Dr. Paci was excellent. She made me feel like she really cared about my wellbeing, she explained everything in great detail - she even asked me the amount of detail I wanted, and she made great recommendations. I also felt like she was taking all the time I needed, did not seem rushed like so many other health care providers.
November 11, 2025
Excellent experience with Dr. Paci and the nurses.
November 08, 2025
Dr Paci is one amazing provider and Iwould recommend this practice to anyone that needed their services.
November 07, 2025
Absolutely great experience!
November 07, 2025
This out patient surgery was unique...the fact no waiting and all so nice. Wished all medical office ran this smooth
November 06, 2025
I felt that they were very knowledgeable and very assertive about their practice.
October 31, 2025
My doctor was excellent in all areas of her care and treatment.
October 27, 2025
Dr Paci was very knowledgeable and compassionate.
October 20, 2025
Dr.Paci is very qualified and easy to communicate with as well.Makes an effort to be understanding about patient concerns. Also I didn't feel rushed at all during the visit. She seems very genuine and shows compassion for her patients.
October 16, 2025
Dr paci is very empathetic but at the same time professional. She genuinely shows concern for her patients and their well-being and it's highly appreciated
October 15, 2025
Felt very rushed for initial overall check
October 11, 2025
I've told anyone who would listen about how great I found this physician. She is amazing. I could NOT have asked for better. She showed patience, compassion, professionalism, and warmth.
October 08, 2025
Dr Paci is great! I have recommended her to family members and friends. She actually probably saved my stepdads life
September 29, 2025
Excellent !!
September 20, 2025
Dr. Paci is great! She listens to everything I have to say and thoroughly answers all my questions and explains everything to me.
September 19, 2025
Dr. Paci was wonderful
September 17, 2025
Dr Paci was wonderful! Being with my last dermatologist for 16 years, I was anxious about meeting a new Dr. She was very thorough!!
September 13, 2025
Dr. Passi was very good about listing pros and cons of tests and treatments
September 06, 2025
I was very impressed and happy with the care I received. The entire staff was friendly and professional. Dr Paci was awesome, explained everything from diagnosis to procedure needed. Answering any concerns, questions to make sure I was informed and engaged in the process. Post care and follow up addressed by Dr Paci and nurse assistant both were fantastic.
August 17, 2025
Very good
August 08, 2025
Good
August 05, 2025
I've had moles removed at other dermatology practices and it was painful. I've had two moles removed by Dr. Paci and it was completely painless both times and healed with no issues.
July 23, 2025
Doctor warned me about chance of redness around surgical site when I sent her a photo of redness/swelling through MyChart, staff assured me this was normal.
July 18, 2025
Describes the treatment that they are going to do very well.
July 07, 2025
Dr. Paci was wonderful, and displayed a lot of compassion and care for my situation, in addition to going the extra mile in determining options to address my concerns!
July 03, 2025
We will be sharing my experience with anyone needing to be seen by dermatologists. The entire staff is excellent!
May 27, 2025
Excellent surgical & suturing/stable skills - my head seems to be healing nicely and I expect minimal scars resulting to my head & face.
May 26, 2025
Dr. Paci was excellent! I had a family emergency the same week I saw her and she was kind and caring. She was thorough in my exam and made me feel comfortable examining my post mastectomy body. That means so much! I feel good about my visit and have already recommended this doctor to a friend.
April 24, 2025
Described to me exactly what she was going to do and told me what to expect as she was doing itShe was very patient and thorough.
March 22, 2025
Dr. Paci is great
March 22, 2025
No complaints. My care was exceptional.
March 20, 2025
Very professional service.
March 20, 2025
Good experience
March 15, 2025
Even tho they were very busy, she did not make my appt feel rushed...
March 15, 2025
Very caring and concerned.
March 14, 2025
Very good
March 14, 2025
Good
March 13, 2025
Excellent in all ways!
March 08, 2025
Good
March 06, 2025
Provider is very thorough in explaining nature of my problem ad well as treatment options.
February 08, 2025
Dr. Passi is exceptional in how she cares for her patients, informs you about procedures and the follow up that needs to occur.
February 02, 2025
I am so very grateful to Dr. Paci for seeing me!!! Dr. Paci was so compassionate, showing me pictures of other patients that had the same skin abnormality that I did. She reviewed with the regarding the nature of my skin condition and corrected the name of the abnormality for me. She also was so great in providing suggestions for medications to use that might positively impact my condition. Dr. Paci also made sure she answered all my questions and explained to me in detail the procedure, prior to actually doing it on my lip. She has an excellent bedside manner and quickly gained my confidence in her abilities.
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