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Weekly Insight
Skin cancer is highly treatable when detected early through professional screening. Dr. Carolina Puyana at Miami Skin Center provides comprehensive skin cancer evaluations and Mohs micrographic surgery in Coral Gables—the gold standard for melanoma, basal cell carcinoma, and squamous cell carcinoma removal. South Florida's intense year-round sun exposure makes regular screening essential.
Miami's year-round sunshine and high UV exposure make regular skin cancer screening essential. According to the American Academy of Dermatology (AAD), one in five Americans will develop skin cancer in their lifetime, and South Florida residents face elevated risk due to intense sun exposure. Professional screening catches suspicious lesions early when treatment is most effective. Dr. Puyana conducts thorough full-body examinations using dermoscopy to evaluate any atypical moles or growths that warrant biopsy.
Mohs surgery is the most effective technique for treating common skin cancers, particularly basal cell carcinoma and squamous cell carcinoma on the face and sensitive areas. This layer-by-layer microscopic approach removes cancerous tissue while preserving as much healthy skin as possible—crucial for maintaining cosmetic outcomes and function. The Mayo Clinic recognizes Mohs surgery as the gold standard for skin cancer removal, offering cure rates exceeding 99% for many cases. Dr. Puyana's expertise as a board-certified Mohs surgeon ensures minimal scarring and optimal results for Miami-area patients.
Melanoma is the deadliest form of skin cancer, but early detection transforms survival rates. The National Institutes of Health (NIH) emphasizes the ABCDE rule: Asymmetry, Border irregularity, Color variation, Diameter larger than a pencil eraser, and Evolving (changing) appearance. Any mole exhibiting these characteristics warrants immediate professional evaluation. Annual skin cancer screenings are particularly important for those with fair skin, family history of melanoma, or numerous moles. Dr. Puyana provides detailed risk assessment and personalized surveillance plans for high-risk patients in Coral Gables and greater Miami.
Q: How often should I get a skin cancer screening in Miami? A: The American Academy of Dermatology recommends annual screenings for most adults, and every 3–6 months for those with a history of skin cancer, atypical moles, or significant sun exposure. South Florida residents often benefit from more frequent monitoring due to year-round UV exposure.
Q: Does Mohs surgery leave scars? A: Mohs surgery is designed to remove the minimum amount of tissue necessary, resulting in smaller wounds and minimal scarring compared to other surgical approaches. Dr. Puyana carefully reconstructs the surgical site to optimize healing and cosmetic appearance, especially important for facial lesions.
Q: Can I get skin cancer even if I use sunscreen? A: While sunscreen is essential protection, no sunscreen provides 100% UV blockage. Cumulative sun exposure over a lifetime increases skin cancer risk. Professional screening catches lesions that may develop despite sun protection efforts, making it a critical preventive measure.
Q: What happens if my biopsy shows skin cancer? A: If skin cancer is confirmed, Dr. Puyana will discuss treatment options tailored to the type, size, and location of the lesion. For most common skin cancers, Mohs surgery offers excellent outcomes with high cure rates and minimal recovery time.
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Written by
Dr. Carolina Puyana, MD
Double Board-Certified Dermatologist & Mohs Surgeon · Skin Cancer · Lasers · Cosmetic
Dr. Carolina Puyana is a double board-certified dermatologist and Mohs surgeon, recognized for both clinical excellence and academic distinction. She graduated with the Highest Honors at the top of her class from the University of Illinois Chicago College of Medicine, after earning her undergraduate degree from the University of Miami and her Master of Public Health from UM's Miller School of Medicine — also with the Highest Honors. A distinguished physician-scholar, Dr. Puyana has authored over 45 peer-reviewed publications with more than 300 citations, contributed to four major dermatology textbooks, and was awarded a National Institutes of Health research grant for her work on skin cancer disparities. Bilingual in English and Spanish, she founded Miami Skin Center to bring elite, evidence-based dermatology to South Florida — combining academic rigor with the personal attention every patient deserves.
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