Mohs Surgery Specialist in New York

Fellowship-trained Mohs micrographic surgery with same-day margin analysis and meticulous reconstruction.

5 min read·Last updated: 2026-07-01·Reviewed by Dr. Julia Tzu, MD, FAAD, FACMS

Abstract gold and charcoal contour-mapping study evoking precise, layered removal

At a Glance

Fellowship-trained Mohs micrographic surgery in New York with Dr. Julia Tzu, a triple board-certified dermatologist and Fellow of the American College of Mohs Surgery (FACMS). Tissue-sparing removal of basal and squamous cell skin cancers with same-day margin analysis and meticulous reconstructive closure for cancers on the face, ears, nose, and body.

  • Dr. Tzu is triple board-certified and a Fellow of the American College of Mohs Surgery (FACMS).
  • Mohs offers one of the highest cure rates of any skin-cancer treatment, because margins are confirmed before the visit ends.
  • Fellowship-trained in Procedural Dermatology (University of Pennsylvania) and Dermatopathology (NYU Langone), so Dr. Tzu reads the tissue herself.

Who this is for

Patients diagnosed with skin cancer, or referred for skin-cancer removal, who want precise, tissue-sparing treatment from a fellowship-trained Mohs surgeon in Lower Manhattan.

A patient with a basal or squamous cell carcinoma, particularly on the face, ears, nose, or lips, where preserving healthy tissue and careful reconstruction matter most.

What Mohs surgery is, and why it clears skin cancer so precisely

Mohs micrographic surgery is the most precise method for removing common skin cancers. Rather than excising the visible tumor plus a wide margin and hoping it is all gone, the surgeon removes one thin layer at a time and examines each layer under the microscope immediately, mapping exactly where any remaining cancer cells lie.

Only the areas that still show cancer are treated again. That is why Mohs offers one of the highest cure rates of any skin-cancer treatment while removing the least healthy tissue possible – which is what preserves appearance afterward, particularly on the face.

How the same-day procedure works

Because the pathology is done on site, Mohs is usually a single-day procedure under local anesthesia. The tumor is removed, the tissue is examined while the patient waits, and either the work is complete or the surgeon takes one further precise layer exactly where it is needed.

Most patients leave the same day knowing the cancer has been fully cleared – something a standard excision cannot confirm until a pathology report returns days later.

Reconstruction is half the work

Removing the cancer is only half the work, particularly on the face, ears, nose, and lips where Mohs is most often used. Dr. Tzu is fellowship-trained in reconstruction as well as removal, so the surgeon who clears the cancer also repairs the site, with attention to how it will heal and settle.

Patients are often anxious that skin-cancer surgery means a conspicuous scar. In practice, the tissue-sparing nature of Mohs combined with meticulous reconstruction tends to leave results far more inconspicuous than expected.

That continuity – one specialist from diagnosis in hand through closure – is a genuine advantage of a fellowship-trained Mohs surgeon over splitting the removal and the repair between two offices.

Why fellowship training matters

Not every physician who performs Mohs completed a Mohs fellowship. Dr. Tzu did – a Procedural Dermatology Fellowship at the University of Pennsylvania – atop a Dermatopathology Fellowship at NYU Langone, which means she is trained to read the tissue slides herself.

She is triple board-certified, including in Micrographic Dermatologic Surgery and Dermatopathology, and a Fellow of the American College of Mohs Surgery (FACMS). For a cancer on the face, that depth of training is what distinguishes a fellowship-trained Mohs surgeon.

The skin cancers Mohs treats

Mohs is the treatment of choice for basal cell and squamous cell carcinomas – the two most common skin cancers – particularly when they sit on the face, ears, nose, lips, hands, or other areas where preserving tissue matters most.

It is also used for cancers that have recurred after prior treatment, or that have borders which are hard to define. For a patient diagnosed and referred for Mohs, this is the procedure the referring dermatologist is pointing toward.

What you can expect

  • Highest cure rate. Mohs offers one of the highest cure rates for common skin cancers, because each layer is examined under the microscope before treatment ends.
  • Tissue-sparing precision. Only cancerous tissue is removed, one thin layer at a time, preserving as much healthy skin as possible around the tumor.
  • Same-day margin analysis. Tissue is examined during the visit, so in most cases the cancer is fully removed and the wound repaired in a single day.
  • Fellowship-trained reconstruction. Dr. Tzu pairs Mohs removal with meticulous reconstructive closure, which matters most for cancers on the face, ears, and nose.

Common concerns we address

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Skin cancers on the face, ears, nose, and lips
  • Recurrent or previously treated skin cancers

How we approach care

  • Mohs micrographic surgery
  • Same-day margin analysis
  • Reconstructive closure

Frequently Asked Questions

What is Mohs surgery?
Mohs micrographic surgery removes skin cancer one thin layer at a time, examining each layer under the microscope until no cancer cells remain. It spares healthy tissue and offers a high cure rate for common skin cancers.
Why see a fellowship-trained Mohs surgeon?
Mohs surgeons complete additional fellowship training in both tumor removal and reconstruction. Dr. Tzu is triple board-certified and a Fellow of the American College of Mohs Surgery.
How long does Mohs surgery take?
Most cases are completed in a single day. Because margins are confirmed during the visit, patients typically leave knowing the cancer has been fully removed.
Is Mohs surgery painful?
The procedure is performed under local anesthesia, so the area is numb. Most patients feel pressure rather than pain during removal, and any soreness afterward is usually mild.
Will reconstruction be needed, and who performs it?
Many Mohs sites, especially on the face, need reconstruction once the cancer is removed. Dr. Tzu is fellowship-trained in reconstruction and repairs the site herself, so one surgeon handles both steps.
Will there be a scar after Mohs surgery?
Any surgery leaves some mark, but patients are often surprised how inconspicuous the result is – a combination of the tissue-sparing technique and meticulous reconstruction, particularly on the face.
Which skin cancers is Mohs used for?
Mohs is most often used for basal cell and squamous cell carcinomas, especially on the face, ears, nose, and lips, and for cancers that have recurred or have hard-to-define borders.

Ready to Get Started?

Schedule a consultation to discuss how we can help you reach your goals.