Restore Your Hair:
Managing Alopecia Areata
Alopecia areata can feel sudden and unsettling — but it doesn’t have to define your life. Our clinical experts in Honolulu specialize in identifying your hair loss pattern, understanding your triggers, and building personalized treatment plans to slow progression and stimulate regrowth.



What is Alopecia Areata?
Alopecia areata is an autoimmune disorder in which the immune system attacks the hair follicles, causing patchy hair loss on the scalp, face, or body at any age. Genetics is the primary factor, but in susceptible individuals, triggers like significant stress, infections, hormonal shifts, and vitamin D deficiency can set off or worsen flares.
Autoimmune Disruption
The immune system mistakenly attacks hair follicles, pushing them into a resting phase and halting hair production — though follicles remain alive, making regrowth possible.
Stress Triggers
Ssychological stress, physical illness or injury, infections, hormonal changes, and vitamin D deficiency
Genetic Predisposition
A family history of alopecia areata, other autoimmune conditions, or a personal history of allergic disease increases your risk of developing or recurring episodes of hair loss.
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
Accurate diagnosis is essential to effective treatment. Our Honolulu clinic thoroughly assesses your hair loss pattern and follicle health — so we treat the root cause, not just the symptoms.
- Hair & Scalp Examination
We evaluate your hair loss pattern, scalp condition, and follicle health to distinguish alopecia areata from other forms of hair loss.
- Dermoscopy
Advanced dermoscopic imaging lets us examine follicle openings and hair shaft characteristics to confirm the diagnosis and assess disease activity.
- Lab & Autoimmune Screening
When appropriate, we may order blood work to check for associated autoimmune conditions, thyroid dysfunction, or nutritional deficiencies that can compound hair loss.
Book a consultation at our Honolulu clinic and get a personalized acne treatment plan from our board-certified experts.
Advanced Treatment Pathways
We combine clinically proven therapies with the latest advances in dermatology to target the immune response driving your hair loss and support meaningful, lasting regrowth.
- Intralesional Corticosteroid Injections — Direct injections of triamcinolone acetonide into affected areas suppress local immune activity and stimulate follicle reactivation.
- Topical Corticosteroids — High-potency steroid creams applied to affected areas to reduce inflammation and encourage regrowth in milder or widespread cases.
- Systemic Corticosteroids — Oral or injectable steroids for rapidly progressing cases to halt the immune attack and provide a window for regrowth.
- Topical Minoxidil — Stimulates blood flow to follicles and prolongs the growth phase, often used alongside corticosteroid therapy for enhanced results.
- Contact Immunotherapy (DPCP) — Redirects the immune system’s focus away from hair follicles — particularly effective for extensive or treatment-resistant cases.
- JAK Inhibitors — FDA-approved oral and topical treatments targeting the specific immune pathway responsible for follicle suppression.
- Platelet-Rich Plasma (PRP) Therapy — Concentrated growth factors from your own blood are injected into the scalp to nourish follicles and accelerate regrowth.
- Scalp Micronutrient Assessment — We evaluate and address deficiencies in iron, zinc, vitamin D, and biotin that can impair follicle recovery.
- Cosmetic & Camouflage Guidance — Our team provides compassionate support for managing the cosmetic impact of hair loss during active treatment phases.
The Hawaii Premier Difference
- Board-Certified Experts
Our physicians specialize in hair and scalp disorders, ensuring you receive the most accurate diagnosis and advanced care available in Hawaii.
- Evidence-Based Treatments
We offer the full range of clinically proven options — from corticosteroid injections to cutting-edge JAK inhibitors — tailored to your hair loss pattern and health history.
- Compassionate Approach
We understand that hair loss affects more than just your appearance. Our team provides a private, supportive, and empathetic environment throughout your treatment journey.
Yoichi Soma
Rhema Wong
Kim Nicely
Colby Kohler
Sumsum Smead
Tiffany Ide
Kathy Coryea
Cherie Y
Tim Swartz
Olena Mazur
Take the First Step
Choose how you'd like to connect with us:
Living in Hawaii should be something you enjoy fully — without the added burden of worrying about your hair. Our Honolulu team is ready to help you find the right path to regrowth.
Other Ways to Reach Us:
- 1600 Kapiolani Boulevard Ste 508, Honolulu, HI, 96814
- Phone: (808) 400-6904
- Email: info@hawaiipremierderm.com
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