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.
Related procedures
Skin Cancer Screening
Skin cancer screening at Miami Skin Center is performed by Carolina Puyana, MD, a board-certified dermatologist, at 299 Alhambra Circle, Suite 211, Coral Gables, FL 33134. Mohs surgery is available in the same office.
Learn more
Acne Treatment
A personalized acne plan from a dermatologist — not a generic over-the-counter routine. Clearer skin in 8–12 weeks for most patients.
Learn more
Eczema (Atopic Dermatitis)
Modern eczema care goes far beyond steroid creams — biologics and JAK inhibitors mean most patients can finally have calm skin year-round.
Learn moreBefore & After
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. Self-pay and out-of-network new-patient visits are $150, credited toward a procedure done the same day.