Medical dermatology
Biologic Therapy
We prescribe and manage biologics for psoriasis, eczema, hidradenitis suppurativa, and chronic urticaria — with insurance coordination handled in-house.

What we manage
- Psoriasis — adalimumab, secukinumab, ixekizumab, guselkumab, risankizumab, bimekizumab.
- Eczema (atopic dermatitis) — dupilumab, tralokinumab, lebrikizumab, nemolizumab.
- Hidradenitis suppurativa — adalimumab, secukinumab, bimekizumab.
- Chronic spontaneous urticaria — omalizumab, dupilumab.
What patients say feels different
The big surprise is how friendly the process feels — most biologics are home-injected once or twice a month after a quick training visit. Side effects are minimal compared to older systemic medications. We monitor with periodic labs and check-ins.
Frequently asked questions
Will my insurance cover the biologic?
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.
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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.
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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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