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Surgical dermatology
Standard surgical excision of confirmed skin cancers with appropriate margins — coordinated with pathology and reconstruction when needed.

Standard excision works well for low-risk BCC and SCC on the trunk and extremities. Mohs is preferred for face, recurrent, or aggressive tumors.
Most excisions heal in 2–4 weeks. Sutures removed at 7–14 days depending on location.
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.

The most effective skin cancer surgery available — up to 99% cure rates for common skin cancers, with the smallest possible scar.
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A small in-office procedure that lets us diagnose skin lesions definitively — usually done in 5–10 minutes during your visit.
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Expert treatment for raised keloid scars — combining surgery, injections, and laser when needed to flatten and prevent recurrence.
Learn moreReal patient results from Miami Skin Center.
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