Medical dermatology
Psoriasis Treatment
Modern biologics can clear psoriasis completely for most patients — and the new oral options work without injections.
Modern treatment ladder
We start where you'll get results without overtreating:
- Mild psoriasis — topical steroids + vitamin D analog (calcipotriene), barrier care.
- Moderate — narrow-band UVB phototherapy or oral systemic agent (apremilast, deucravacitinib).
- Moderate to severe — biologics: adalimumab, secukinumab, ixekizumab, guselkumab, risankizumab, bimekizumab.
Joint involvement (psoriatic arthritis) changes which biologic we choose. We coordinate with rheumatology when needed.
Frequently asked questions
Is psoriasis curable?
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.