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Medical dermatology
Reverse years of sun damage — age spots, uneven tone, and textural changes treated with IPL, chemical peels, topical retinoids, and prescription lighteners.
| Concern | Recommended Treatment | |---|---| | Solar lentigines | IPL photofacial, cryotherapy, laser (Q-switched/picosecond), hydroquinone | | Uneven tone | Topical retinoids, chemical peels (glycolic, TCA), azelaic acid | | Texture & fine lines | Fractional laser resurfacing, microneedling, TCA cross | | Telangiectasias | IPL, vascular laser (PDL, KTP) |
Actinic keratoses: cryotherapy (individual lesions) or field therapy (5-fluorouracil cream, imiquimod, photodynamic therapy, tirbanibulin) for widespread AKs.
Broad-spectrum SPF 30–50 sunscreen applied daily — regardless of weather — is the single most effective anti-aging and skin cancer prevention strategy. Tinted mineral sunscreens (zinc oxide, titanium dioxide) provide the best protection for patients with melasma and pigmentation concerns.
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.

A head-to-toe full-body skin exam with a board-certified dermatologist — the single best thing you can do for skin cancer prevention in South Florida.
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A personalized acne plan from a dermatologist — not a generic over-the-counter routine. Clearer skin in 8–12 weeks for most patients.
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Modern eczema care goes far beyond steroid creams — biologics and JAK inhibitors mean most patients can finally have calm skin year-round.
Learn moreReal patient results from Miami Skin Center.
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