Stop the Cycle Around Your Mouth:
Top Perioral Dermatitis Treatment in Honolulu
Perioral dermatitis is frustrating partly because the things patients reach for to fix it — steroid creams, heavy moisturizers — often make it worse. Our board-certified experts in Honolulu identify the triggers, break the cycle, and clear your skin with the right treatment from the start.


What Is Perioral Dermatitis?
Perioral dermatitis is an inflammatory facial rash appearing as small red or flesh-colored bumps clustered around the mouth, nose, and sometimes eyes. It predominantly affects women and is strongly associated with topical steroid use and occlusive skincare products.
Topical Steroid Overuse
The most common trigger — applying corticosteroid creams to the face, even for unrelated concerns, disrupts the skin barrier and creates a dependency cycle that drives perioral dermatitis.
Occlusive Products & Ingredients
Heavy moisturizers, petroleum-based products, fluorinated toothpastes, and certain sunscreen formulations can occlude facial follicles and trigger or worsen perioral dermatitis in susceptible individuals.
Hormonal & Environmental Factors
Oral contraceptives, hormonal fluctuations, and UV exposure in Hawaii’s sunny climate can all act as contributing factors — particularly in young women who are already prone to this condition.
The staff was pleasant, the wait was short, and the diagnosis and treatment was very straightforward. Dr. Musaev has excellent knowledge and explained things well. The procedure was quick and painless. Clinic location and parking was easy. A great community resource!
Yoichi Soma
Great experience at Hawaii Premier Dermatology! This was my first derm appointment and I am very happy I chose to come here. Justin was very knowledgeable and helpful and I even got something else checked that I didn’t originally plan on getting checked. I’ll be coming here from now on and I highly recommend!
Rhema Wong
Justin Maio and staff were super friendly. I was actually a bit late to my appointment but was still accommodated. Great experience.
Kim Nicely
Wonderful, respectful, easy to schedule, easy to check in. Doctor was prompt and thorough and kind. He spent as much time as needed with me. Definitely recommend Hawaii Premier Derm, thanks y’all!
Colby Kohler
Dr Tagai and his assistants were detailed and quick in my recent visit. They helped me navigate many paths forward for me to choose from based on my skin condition. Thanks!
Sumsum Smead
Very fast and professional. I was nervous at first as it was my first doctor appointment ever since I’ve moved here but everyone was very friendly and I felt so welcomed there . Thank you Dr. Tagai, Grace and the front staff .💕
Tiffany Ide
Justin Maio is #AMAZING. Such a wonderful person with a great personality, and he always puts you at ease–even when it can be scary getting biopsies! I would travel 50 miles anywhere on this island just to see him–and I already go 22! Best office with the nicest and most professional staff. I truly cannot say enough positive things–No joke!
Kathy Coryea
Had a worry about a skin cancer spot and was relieved when Dr. Tagai had a spot for me that week. He had excellent bedside manner and was compassionate when I was a bit of a wimp (okay, a big wimp) with the needle. Highly recommend him.
Cherie Y
After two years of wondering and self treating and many healthcare visits to the cheap clinics and constant AI asks, I paid out of pocket less than $400 for 2 visits to find out I have a rare skin condition called Actinic Dermatitis. Thank you Justin, now I know and now I can sleep well at night and understand what is NOT causing this. I really appreciate your expertise!
Tim Swartz
Wonderful experience! The staff was professional, kind, and attentive. Justin was very friendly, knowledgeable, and made me feel comfortable throughout the visit. Highly recommend this clinic!
Olena Mazur
Precision Diagnosis
Perioral dermatitis is frequently mistaken for other acute and chronic dermatologic conditions — and treatments aimed at those conditions can make it significantly worse.
- Clinical Examination
- Product & Steroid History Review
- Establishing Diagnosis
Getting the diagnosis right upfront avoids months of treatments that worsen the rash rather than clearing it.
Advanced Treatment Pathways
- Stopping Steroid Creams: Discontinuing all topical steroids is the essential first step — we guide patients through the initial flare that can follow and manage it appropriately.
- Prescription Topical Treatments: Anti-inflammatory creams and gels that reduce redness and bumps without the risks associated with steroid use.
- Gentle Alternative Topicals: Mild options for mild-to-moderate perioral dermatitis that can also help fade discoloration left behind by the rash.
- Oral Medications: For moderate-to-severe or persistent cases, a short course of prescription oral medication clears the rash effectively and is tapered as the skin stabilizes.
- Skincare Simplification: We replace your existing routine with a minimal, fragrance-free, breathable regimen suited to Hawaii's climate and your skin's needs.
- Recurrence Prevention: We identify your personal triggers and build a long-term maintenance strategy to keep flares from returning.
The Hawaii Premier Difference
- Board-Certified Experts
We specialize in facial inflammatory conditions and provide accurate perioral dermatitis diagnosis and advanced care in Honolulu
- Evidence-Based Treatments
We don’t rely on fads. Every recommendation — from steroid withdrawal management to oral antibiotic selection — follows current clinical evidence.
- Compassionate Approach
- We understand perioral dermatitis can shake your confidence in your skincare routine and your skin. Our team provides clear answers and a simple, effective plan to get you back on track.
Take the First Step
Choose how you'd like to connect with us:
If you have a persistent rash around your mouth that hasn’t responded to creams or keeps coming back, our Honolulu experts will identify the cause and clear it correctly.
Other Ways to Reach Us:
- 1600 Kapiolani Boulevard Ste 508, Honolulu, HI, 96814
- Phone: (808) 400-6904
- Email: info@hawaiipremierderm.com
Send us a message or consultation request
Ready to book directly?
Book your in-person consultation in Honolulu to get your personalized treatment roadmap.