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Lasers & technology
Controlled micro-injuries that stimulate collagen and elastin — effective for acne scars, enlarged pores, and skin texture with no UV sensitivity required.

Standard microneedling creates the micro-channels alone. Radiofrequency (RF) microneedling delivers controlled RF heat through the needles into the dermis — generating significantly more collagen remodeling, especially for laxity and deeper scars. We prefer RF microneedling for most patients seeking meaningful results.
Unlike ablative lasers, microneedling carries virtually no risk of post-inflammatory hyperpigmentation regardless of Fitzpatrick skin type. It's one of the safest and most effective scar and texture treatments for richer skin tones — a major advantage in Miami.
Sessions take 45–60 minutes including numbing. Skin is pink and feels like a mild sunburn for 24–48 hours. No sun avoidance is required beyond normal SPF. Results build gradually over 4–8 weeks as collagen forms.
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.

Reduce sun damage, brown spots, and visible blood vessels with intense pulsed light — the most popular treatment for sun-damaged Miami skin.
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Permanent hair reduction with diode and Nd:YAG lasers — safe and effective on all Fitzpatrick skin types, including richer Hispanic and Caribbean tones.
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Fractionated laser treatments that improve texture, tone, and pigmentation — reducing fine lines, acne scars, and sun damage with controlled downtime.
Learn moreReal patient results from Miami Skin Center.
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