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Aesthetic dermatology
Subtle, natural-looking results from a board-certified dermatologist. Smooth lines without freezing your expression.

We use the least amount of product needed for a natural look. We map your facial dynamics first — how you smile, raise your brows, frown — and inject to soften, not erase. You should still look like you, just rested.
The treatment takes about 10 minutes. You'll feel a small pinch with each injection. There's no downtime — most patients go straight back to work. Avoid lying flat or working out for 4 hours.
Botox® Cosmetic, Dysport®, Xeomin®, Daxxify® — Dr. Puyana picks the one best suited to your goals and longevity preferences.
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.

Subtle volume and definition for lips with hyaluronic acid fillers — natural-looking results from a board-certified dermatologist.
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Restore hollow under-eyes and tear troughs with precise, anatomically-safe filler placement — refreshed, not puffy.
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Restore midface volume, soften folds, and refresh contours with hyaluronic acid and biostimulator fillers placed by a dermatologist.
Learn moreReal patient results from Miami Skin Center.
Tell us a little about what you need. Our team responds in the language you choose.