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?

Psoriasis isn't curable but it's highly controllable. Many patients on biologic therapy live with virtually clear skin indefinitely.

Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.

Trusted sources

National Psoriasis Foundation

This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.

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Before & After

Real patient results from Miami Skin Center.

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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.

Book a consultation

Tell us a little about what you need. Our team responds in the language you choose.