Acne Treatment

Why dermatologist-guided acne care works better

Acne is more than a cosmetic problem — untreated, it leaves scars and pigmentation that take years to fade in Hispanic and Caribbean skin. We use prescription-strength retinoids, antibiotics, hormonal therapy, and isotretinoin (when warranted), in combinations the drugstore aisle can't match.

What we treat

• Comedonal acne (blackheads, whiteheads)
• Inflammatory acne (red bumps, pustules)
• Cystic and nodular acne
• Hormonal acne (jawline, cyclical flares)
• Post-inflammatory hyperpigmentation (PIH) and red marks
• Active acne scarring

A typical first visit

We review what you've tried before, your medical history, and any hormonal patterns. Dr. Puyana then builds a 3-step plan — usually a topical, an oral or hormonal option (when appropriate), and a maintenance routine — and writes it out so you can take it home.

On Miami skin specifically

Tropical heat and humidity change which formulations work. Some retinoids feel too harsh, certain antibiotics interact with photo-sensitive lifestyles, and the post-inflammatory marks that linger on richer skin tones need their own treatment plan. We tune each plan accordingly.