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Medical dermatology
Prescription antiviral therapy for oral and genital herpes outbreaks, suppression, and shingles (herpes zoster) — started early for best results.
Tingling, burning, then fluid-filled blisters on or around the lips. Prescription antivirals shorten outbreaks and can be taken daily to reduce frequency.
Similar pattern in the genital area. Suppressive therapy reduces transmission risk and outbreak frequency.
Painful blistering rash in a band on one side of the body. Early antiviral treatment reduces duration, pain, and risk of post-herpetic neuralgia. Vaccination (Shingrix) is recommended for adults 50+.
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.