Medical dermatology
Melasma Treatment
Medical-grade melasma care combining prescription topicals, chemical peels, and sun protection — calibrated for Miami's diverse skin tones.
Why melasma is different in Miami
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.
Our approach
- Prescription triple-combination creams when indicated
- Oral tranexamic acid for resistant cases
- Chemical peels (glycolic, mandelic, modified Jessner's)
- Strict daily mineral SPF — non-negotiable
- Realistic expectations: control, not permanent elimination
Frequently asked questions
Can melasma be cured permanently?
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
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Real patient results from Miami Skin Center.
Book a consultation
Choose a time that works for you. Online scheduling is through our practice calendar — same Coral Gables office, bilingual care.