Calm the Flush
Top Rosacea Diagnosis & Treatment in Honolulu
Rosacea is chronic, but with the right management it doesn’t have to run your life. Our board-certified experts in Honolulu identify your rosacea subtype and triggers — including Hawaii’s intense sun and heat — and build a plan that keeps flares under control long term.


What Is Rosacea?
Rosacea is a chronic inflammatory skin condition causing facial redness, visible blood vessels, bumps, and in some cases skin thickening. It tends to flare and remit, worsened by specific triggers that vary between patients.
Erythematotelangiectatic Rosacea (ETR)
Characterized by persistent facial redness, flushing, and visible broken capillaries — the most common subtype, and the one most aggravated by Hawaii’s heat, humidity, and sun exposure
Papulopustular Rosacea
Presents with inflammatory bumps and pustules on a backdrop of facial redness — often mistaken for acne
Phymatous Rosacea
A progressive subtype causing skin thickening and enlargement — most commonly rhinophyma (thickening of the nose) — that requires early, aggressive treatment to prevent disfiguring change.
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
Rosacea is frequently confused with acne, lupus, and seborrheic dermatitis — and the wrong diagnosis leads to treatments that worsen rather than help.
- Clinical Examination & Subtype Classification
We identify your rosacea subtype — redness-predominant, papulopustular, or phymatous — as each requires a different treatment approach.
- Trigger Mapping
We work through your personal flare triggers — sun, heat, exercise, diet, skincare products — to build a practical avoidance strategy alongside medical treatment.
- Ocular Rosacea Screening
Eye involvement is present in up to 50% of rosacea patients and is often unrecognized — we screen and refer to ophthalmology when indicated.
Subtype-specific diagnosis means your treatment is targeted to the exact form of rosacea you have — not a generic anti-redness protocol.
Advanced Treatment Pathways
Treatment is built around your subtype, your triggers, and what living in Hawaii demands of your skin every single day.
- Metronidazole & Azelaic Acid: Anti-inflammatory topicals that reduce redness and breakouts — a first-line option for many patients.
- Ivermectin Cream: Targets a key driver of rosacea inflammation with strong clinical evidence.
- Redness-Reducing Topicals: Fast-acting creams and gels that visibly reduce redness and flushing within hours.
- Oral Medications: Low-dose doxycycline and other prescription options that calm inflammation from within for moderate rosacea.
- Laser & Light Therapy: Vascular laser and IPL reduce visible blood vessels and persistent redness that topicals can't fully treat.
- Sun Protection: Daily mineral SPF is essential in Hawaii — we help you find gentle, reef-safe options for sensitive skin.
The Hawaii Premier Difference
- Board-Certified Experts
We specialize in inflammatory facial skin conditions and provide accurate rosacea subtyping and advanced care in Honolulu.
- Evidence-Based Treatments
Rosacea treatment changes as the science does. We stay current with the research so your care plan reflects what’s proven to work — not what’s trending online.
- Compassionate Approach
We know rosacea affects how you feel about your face every day. Our team provides a clear plan and ongoing support to help you stay ahead of flares.
Take the First Step
Choose how you'd like to connect with us:
If facial redness, flushing, or bumps are affecting your confidence, our Honolulu experts will identify your rosacea subtype and build a plan that keeps your skin calm — even in the Hawaiian sun.
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.