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Medical dermatology
Those small, rough bumps on your arms or thighs — keratosis pilaris is harmless but highly treatable with the right moisturizers and prescription therapy.
KP results from excess keratin production that clogs hair follicles. It is genetic (runs in families) and associated with dry skin, atopic dermatitis, and ichthyosis vulgaris. It tends to worsen in winter (dry air) and improve in summer.
Apply after showering to damp skin, daily or twice daily. Avoid harsh scrubbing — it worsens inflammation.
Tretinoin or adapalene gel applied nightly accelerates follicular turnover and smooths texture. May cause initial irritation — start with low frequency.
KP responds to treatment but requires ongoing maintenance — it typically returns when treatment is stopped. Most patients achieve 60–80% improvement with consistent use of keratolytics.
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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