Early Detection Saves Lives:
Top Malignant Melanoma Diagnosis & Treatment in Honolulu
Hawaii has one of the highest melanoma rates in the country — and early detection is the single most important factor in survival. Our board-certified experts in Honolulu provide thorough evaluation, rapid diagnosis, and coordinated treatment for melanoma patients across Oʻahu.


What Is Malignant Melanoma?
Malignant melanoma is the most dangerous form of skin cancer, arising from pigment-producing melanocytes. It is far more likely than other skin cancers to spread to lymph nodes and internal organs — making early-stage diagnosis critical to long-term outcomes.
Superficial Spreading Melanoma
The most common type — begins as a flat or slightly raised discolored patch with irregular borders and uneven pigmentation, typically growing outward before invading deeper tissue.
Nodular Melanoma
A more aggressive subtype that grows vertically into the skin from the outset — often presenting as a rapidly growing, darkly pigmented or amelanotic (skin-colored) raised lesion.
Acral Lentiginous Melanoma
Occurs on the palms, soles, or under the nails — disproportionately common in darker-skinned individuals, including many in Hawaii’s Asian and Pacific Islander communities, and frequently diagnosed late due to its less obvious location.
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
Every suspicious lesion is evaluated with urgency — because melanoma’s staging at diagnosis directly determines treatment options and prognosis.
- Full-Body Skin Examination & Dermoscopy
We examine all moles and pigmented lesions systematically, using dermoscopy to identify features invisible to the naked eye.
- Skin Biopsy
Any spot with concerning features is biopsied and sent for detailed lab analysis to confirm the diagnosis and determine how advanced it is.
- Sentinel Lymph Node & Imaging Referral:
Some melanomas may require further genetic testing, lymph node biopsy, or imaging.
Rapid, accurate staging is what determines the path forward — and we move quickly to make sure you have answers without unnecessary delay.
Advanced Treatment Pathways
From diagnosis through long-term follow-up, our Honolulu team is with you at every step.
Wide Local Excision
The standard treatment for localized melanoma. The melanoma is surgically removed along with a margin of surrounding skin, with the margin size based on tumor thickness and current guidelines.
Staged Excision & Reconstruction
For melanomas in cosmetically sensitive areas like the face, removal is often done in stages — confirming clear margins first, then carefully reconstructing the area for the best cosmetic result.
Advanced Surgical Care
More advanced melanomas may require sentinel lymph node biopsy or additional surgery, typically performed in coordination with surgical oncology.
Immunotherapy & Targeted Therapy Advanced melanoma is treated with modern systemic therapies, including immunotherapy and targeted drugs, managed in coordination with oncology. Dermatologic care continues throughout treatment with ongoing skin surveillance.
Radiation Therapy Radiation therapy is required in some cases — typically when melanoma has spread to lymph nodes or can't be fully removed surgically. When needed, treatment is coordinated with radiation oncology as part of a comprehensive plan.
Long-Term Surveillance Melanoma requires lifelong skin monitoring. A structured follow-up schedule helps catch any recurrence or new melanomas at the earliest, most treatable stage.
The Hawaii Premier Difference
- Board-Certified Experts
We specialize in pigmented lesion evaluation and melanoma diagnosis, providing the most accurate assessment and coordinated care available in Hawaii.
- Evidence-Based Treatments
Diagnosis and treatment follow current national melanoma guidelines at every step.
- Compassionate Approach
A melanoma diagnosis is frightening. Our team provides clear answers, honest communication, and a calm, supportive environment throughout your care.
Take the First Step
Choose how you'd like to connect with us:
If you have a changing mole, an unusual pigmented lesion, or haven’t had a full-body skin check recently, don’t wait. Our Honolulu experts will evaluate your skin with the urgency and expertise this requires.
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.