Medical dermatology
Actinic Keratosis (Pre-Cancer)
Treatment of rough, scaly pre-cancerous spots from sun damage — cryotherapy, topical field therapy, or photodynamic therapy to prevent progression to skin cancer.
Field treatment vs. spot treatment
Individual AKs can be frozen with cryotherapy. When you have many AKs on the face, scalp, or arms, field therapy treats the entire sun-damaged area to prevent new cancers.
Prevention
Daily SPF, sun-protective clothing, and regular skin exams — especially critical in Miami.
Frequently asked questions
Do all actinic keratoses turn into cancer?
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
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.
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.
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