Loading…
Loading…
Surgical dermatology
Expert treatment for raised keloid scars — combining surgery, injections, and laser when needed to flatten and prevent recurrence.

Keloids recur easily if treated with surgery alone. We combine modalities to reduce recurrence:
Earlobes (after piercings), chest, shoulders, jawline, and surgical scars.
Treatment is staged — multiple visits over weeks to months. We set realistic expectations upfront: keloids can be improved significantly, but complete elimination isn't always possible.
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.

The most effective skin cancer surgery available — up to 99% cure rates for common skin cancers, with the smallest possible scar.
Learn more
A small in-office procedure that lets us diagnose skin lesions definitively — usually done in 5–10 minutes during your visit.
Learn moreIn-office surgical removal of benign fatty lumps under the skin — quick procedure under local anesthesia with minimal scarring.
Learn moreReal patient results from Miami Skin Center.
Tell us a little about what you need. Our team responds in the language you choose.