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Medical dermatology
Medical-grade melasma care combining prescription topicals, chemical peels, and sun protection — calibrated for Miami's diverse skin tones.
UV exposure is the biggest driver of melasma flares. Heat, humidity, and hormonal shifts (pregnancy, birth control) also play a role. Treatment must be gentle enough for richer skin tones to avoid post-inflammatory hyperpigmentation.
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.