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Medical dermatology
Treatment of rough, scaly pre-cancerous spots from sun damage — cryotherapy, topical field therapy, or photodynamic therapy to prevent progression to skin cancer.
Individual AKs can be frozen with cryotherapy. When you have many AKs on the face, scalp, or arms, field therapy treats the entire sun-damaged area to prevent new cancers.
Daily SPF, sun-protective clothing, and regular skin exams — especially critical in Miami.
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.

A head-to-toe full-body skin exam with a board-certified dermatologist — the single best thing you can do for skin cancer prevention in South Florida.
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A personalized acne plan from a dermatologist — not a generic over-the-counter routine. Clearer skin in 8–12 weeks for most patients.
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Modern eczema care goes far beyond steroid creams — biologics and JAK inhibitors mean most patients can finally have calm skin year-round.
Learn moreReal patient results from Miami Skin Center.
Tell us a little about what you need. Our team responds in the language you choose.