Cyst Evaluation & Treatment
Cysts are common, benign growths that form when skin cells or oil become trapped beneath the surface, creating a slow-growing bump that may feel firm or movable under the skin. While most cysts are harmless, they can become inflamed, infected, or bothersome — and squeezing them at home often makes things worse. Our board-certified dermatologist can evaluate your cyst and recommend the best course of treatment for your situation.



What Is a Cyst?
A cyst is a sac-like growth beneath the skin filled with fluid, keratin, or other material. Most are benign, but they can become inflamed, infected, or cause cosmetic concerns that warrant professional treatment.
Not all cysts are the same. Identifying the type is the first step toward the right treatment.
Epidermoid Cysts
Formed from outer skin cells (epidermis) and filled with keratin. The most common type — typically appearing as a firm, slow-growing bump on the face, neck, or trunk.
Sebaceous Cysts
Develop from oil glands and are filled with sebum. Often found on the scalp, face, or back, and prone to becoming inflamed or infected.
Pilar Cysts
Arise from hair follicles and contain keratinized material. Most commonly found on the scalp and tend to run in families.
Mucous Cysts
Form near joints or tendons and are filled with thick gelatinous fluid. Commonly appear on the fingers or toes, often near a nail or joint.
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
Before recommending treatment, we carefully evaluate the cyst to determine its type, depth, and whether any signs of infection or atypical features are present.
- Clinical Examination
A thorough hands-on assessment of the cyst’s size, location, texture, and behavior to guide the appropriate treatment approach.
- Dermoscopy
Used when surface features are ambiguous to rule out other lesions and confirm the diagnosis before proceeding.
- Pathology
Excised cysts are sent for pathologic review when atypical features are present, ensuring nothing is missed.
Advanced Treatment Pathways
Treatment is matched to the cyst type and your goals — whether that’s relief from discomfort, cosmetic improvement, or both.
- Incision & Drainage: For inflamed or infected cysts, we drain the contents to relieve discomfort and reduce swelling quickly.
- Corticosteroid Injection: Reduces inflammation and shrinks the cyst — an effective option for early or mildly inflamed lesions.
- Surgical Excision: Depending on the cyst location and size we will either perform the procedure in our office or refer you to a surgical specialist
- Oral Antibiotics: Prescribed when a cyst shows signs of bacterial infection prior to or following drainage.
- Wound Care Guidance: Post-procedure instructions tailored to Hawaii’s humid climate to support clean, efficient healing.
- Recurrence Monitoring: We schedule follow-up to confirm complete resolution and address any regrowth early.
The Hawaii Premier Difference
- Board-Certified Experts
We specialize in skin growths, ensuring accurate diagnosis and safe, effective removal in Honolulu.
- Evidence-Based Treatments
- Compassionate Approach
We understand cysts can affect your confidence and comfort. Our team provides a supportive, judgment-free environment from consultation through recovery.
Take the First Step
Choose how you'd like to connect with us:
If you have a cyst that’s growing, painful, infected, or simply bothering you, our Honolulu team is ready to help. We’ll evaluate it thoroughly and recommend the most effective, least invasive path to clear skin.
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.