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Medical dermatology
Sensitive, confidential care for a broad range of genital skin conditions — from lichen sclerosus and contact dermatitis to psoriasis and Fordyce spots.
Chronic inflammatory condition causing thin, white, wrinkled patches on the vulva (women) or glans/foreskin (men). Causes itching, burning, and pain. Increased risk of squamous cell carcinoma with long-standing disease. Treated with ultra-potent topical steroids (clobetasol); regular follow-up is essential.
Thick, leathery plaques from chronic scratching of itchy genital skin. A cycle of itch-scratch-itch. Treated by breaking the cycle with topical steroids and anti-itch agents.
Smooth, shiny red plaques in the groin, inner thighs, and gluteal cleft — often misdiagnosed as fungal. Treated with low-potency topical steroids or calcineurin inhibitors.
From perfumed soaps, wipes, lubricants, condoms (latex), or topical medications. Patch testing identifies culprits.
Benign, visible sebaceous glands appearing as white/yellowish papules on labia or shaft of penis. No treatment needed; cosmetic concerns can be addressed.
Benign cysts that may require drainage or excision if symptomatic.
All genital evaluations at Miami Skin Center are conducted with the utmost sensitivity and confidentiality. Our board-certified dermatologists are experienced in vulvology and male genital dermatology.
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.
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