Medical dermatology
Eczema (Atopic Dermatitis)
Modern eczema care goes far beyond steroid creams — biologics and JAK inhibitors mean most patients can finally have calm skin year-round.
Why eczema is so different now
Until recently, "eczema" meant moisturize and use steroid cream. Today, we have biologics and small-molecule oral medications that target the immune signals causing the rash directly. Patients who lived with constant itch for years often clear in weeks.
Our approach
- Diagnose accurately — not all itchy rashes are eczema; we rule out allergic contact dermatitis, fungal, and other mimickers.
- Repair the barrier — daily moisturizing strategy specific to Miami's humidity.
- Use the right strength of topical — face/folds vs. body, and rotate calcineurin inhibitors when needed.
- Escalate when needed — dupilumab, tralokinumab, lebrikizumab, JAK inhibitors (upadacitinib, abrocitinib).
- Address triggers — sweat, soap, fragrance, stress patterns.
Frequently asked questions
Is biologic therapy safe long-term?
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
Related procedures
Skin Cancer Screening
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.
Learn more
Acne Treatment
A personalized acne plan from a dermatologist — not a generic over-the-counter routine. Clearer skin in 8–12 weeks for most patients.
Learn more
Psoriasis Treatment
Modern biologics can clear psoriasis completely for most patients — and the new oral options work without injections.
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.