Aesthetic dermatology
Botox® and Neuromodulators
Subtle, natural-looking results from a board-certified dermatologist. Smooth lines without freezing your expression.
What we treat
- Forehead lines (frontalis)
- Glabellar / "11" lines between the brows
- Crow's feet around the eyes
- Bunny lines on the nose
- Lip flip and gummy smile
- Masseter for jaw slimming and TMJ tension
- Hyperhidrosis (excessive underarm sweating)
Our injection philosophy
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.
What to expect
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.
Brands we use
Botox® Cosmetic, Dysport®, Xeomin®, Daxxify® — Dr. Puyana picks the one best suited to your goals and longevity preferences.
Frequently asked questions
How long does Botox last?
Will I look frozen?
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
Related procedures
Lip Filler
Subtle volume and definition for lips with hyaluronic acid fillers — natural-looking results from a board-certified dermatologist.
Learn more
Under-Eye Filler
Restore hollow under-eyes and tear troughs with precise, anatomically-safe filler placement — refreshed, not puffy.
Learn more
Facial Rejuvenation Fillers
Restore midface volume, soften folds, and refresh contours with hyaluronic acid and biostimulator fillers placed by a dermatologist.
Learn moreBefore & After
Real patient results from Miami Skin Center.
Book a consultation
Choose a time that works for you. Online scheduling is through our practice calendar — same Coral Gables office, bilingual care.