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Medical dermatology
We prescribe and manage biologics for psoriasis, eczema, hidradenitis suppurativa, and chronic urticaria — with insurance coordination handled in-house.

The big surprise is how friendly the process feels — most biologics are home-injected once or twice a month after a quick training visit. Side effects are minimal compared to older systemic medications. We monitor with periodic labs and check-ins.
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.