A Pico laser uses very short light bursts to break up extra skin pigment. Providers use it for sun spots, age spots, and some other dark marks. In Hawaii, timing and sun care matter as much as the laser itself. You are putting on sunscreen in the car mirror before work. The morning light shows a few brown spots on your cheek. Years of beach days and long drives have added up. Now you wonder what can be done about them. Book my visit or call (808) 263-3233 to have your spots c

CoolSculpt and EMSlim are both body contouring treatments with no surgery. CoolSculpt uses cold to target small pockets of fat. EMSlim uses energy pulses to work your muscles. Neither one is a weight-loss treatment, and a consult shows which one fits you. You pull a favorite aloha shirt out of the closet for a family party. It fits a little differently than it did last year. You eat well and walk the beach most mornings. Still, one spot has not changed, and you wonder about y

Cold sores are small, painful blisters on or near the lips. A common virus causes them, and strong sun is one of the biggest triggers. In Hawaii, daily lip sunscreen and early care can help. Frequent outbreaks are worth a visit. You spend a bright Saturday at Kailua Beach with friends. That night, your lip starts to tingle and itch. By Monday, a small blister has shown up right before a big meeting. If this sounds familiar, you are not alone. Book my visit or call (808) 263-3

A face paint rash is an itchy, red, or bumpy reaction to costume makeup, glue, or latex. In Hawaii's heat and humidity, sweat can trap these products on your skin. A patch test, gentle removal, and a few smart swaps can help you enjoy Halloween with less itching. The costume is ready. The keiki are excited, and the face paint kit is open on the kitchen counter. The next morning, a cheek feels hot and itchy, with tiny red bumps. It happens more often than you might think. Book

An under-chin injection is a cosmetic treatment for fullness under the chin. Small injections break down fat cells in that one area. At our Kailua, Oahu clinic, Doug Williams, MPAS, PA-C, can help you see if it fits. You catch your side profile in a photo from a beach day. The area under your chin looks fuller than you remember. Maybe diet and exercise have not changed it much. You are not alone, and there are options worth knowing about. Book my consultation or call (808) 26

Heat rash happens when sweat gets trapped under the skin. It shows up as small, itchy, or prickly bumps where you sweat most. In Hawaii's warm, humid air, sweat dries slowly, so heat rash is common. Most cases clear once the skin cools down. You get home from a sticky afternoon at a Kailua, Oahu soccer field. You peel off your shirt and see tiny red bumps across your chest and back. They sting a little and itch a lot. By the next morning, they may already look calmer. What is

Sclerotherapy is a treatment for small spider veins on the legs. A provider injects a solution into the vein. Over time, the vein fades from view. In Hawaii, fall and winter are a good time to start. Legs are easier to keep covered then. You see them when you pull on board shorts or a sundress. Thin red, blue, or purple lines show up on your thighs or behind your knees. They are usually harmless, but you may feel shy about them at the beach. What are spider veins? Spider vein

Fractional CO2 laser resurfacing treats tiny columns of skin to spark fresh collagen. In Hawaii, fall is a smart time to start. The sun eases a little from about October to February. That makes healing and sun care easier. You notice it most in bright morning light at the bathroom mirror. Fine lines near your eyes look deeper. Old sun spots and rough texture have settled in after years of beach days. You want smoother skin. You just do not want to hide indoors all summer. Wha

Summer is ending, and your skin is showing it. Sun spots, dullness, rough texture, clogged pores, and uneven color can feel more clear after months of beach days, hikes, paddling, yard work, and daily driving in bright Hawaii sun. In Hawaii, the sun never really leaves. We do not get a cold mainland fall where you can forget about UV. But from October on, the sun eases from its summer peak. That gives your skin a better season to start treatments that need careful aftercare.

Lanai does not have a dermatologist. Flying to Oahu for a rash or a mole check means a full day off work and a plane ticket. Telehealth solves that in 15 to 20 minutes from your own kitchen. For many skin concerns, you do not need to start with an interisland flight. You need clear photos, a private place to talk, and a licensed medical provider who can look at your skin, ask the right questions, and make a plan. Hawaiian Islands Dermatology, a real medical clinic based in Ka

The Big Island is huge, and dermatology offices are not close to everyone on it. Whether you are in Hilo, Kona, Waimea, or Puna, telehealth gets you seen without a drive across the island or a flight to Oahu. That matters when your rash is spreading, your acne flare will not calm down, or you need a refill before you run out. It also matters when you have work, keiki pickup, kūpuna care, or a long drive in the way. Hawaiian Islands Dermatology is a real medical clinic based i

Kauai does not have a dermatologist. Flying to Oahu for a rash or a mole check means a full day off work and a plane ticket. Telehealth solves that in 15 minutes from your own kitchen. For many skin concerns, you do not need to start with an interisland flight. You need a clear look at the skin, a good history, and a licensed medical dermatology provider who can make a plan. Hawaiian Islands Dermatology is a real medical clinic based in Kailua, Oahu, serving Kauai patients by

Maui has dermatologists, but the wait for a new-patient visit can run weeks. A rash or a worrying mole does not wait weeks. Telehealth gets you seen in days, sometimes today. When your skin is itchy, painful, changing, or just not acting normal, you want clear answers. You may not need to drive across the island, take time off work, or wait for the next open in-person appointment. Hawaiian Islands Dermatology, based in Kailua, Oahu, offers dermatology telehealth visits for Ma

Hawaii schools start in early August. Recess can happen under UV 11. PE may be in full sun. Locker rooms are full of shared towels, shoes, helmets, water bottles, and benches. Your kid’s skin needs a plan before the first bell. This back to school kids skin Hawaii checklist is for real school days in Kailua, Oahu. It covers sunscreen, acne, eczema, sports skin, and the small habits that keep rashes and breakouts from taking over the semester. This guide is for general educati

The sunburn hurts and you have chills, then nausea kicks in. That is not a regular burn. That is sun poisoning, and Hawaii's UV 11+ can trigger it faster than the Mainland ever did. If your skin is hot, red, blistering, and your whole body feels sick, take it seriously. Sun poisoning can cause fever, dizziness, dehydration, and severe pain that builds after you leave the beach. In Kailua, Oahu, we see how fast this can happen after surfing, paddling, hiking, yard work, or one

Flakes in your eyebrows. Redness by the sides of your nose. A dry scalp that isn't really dry. That is seborrheic dermatitis, and Hawaii is one of the worst climates for it. If you live in Kailua, Oahu, or anywhere warm and humid in Hawaii, seborrheic dermatitis can feel like it never takes a break. You wash your hair, then the flakes come back. You moisturize your face, then the red patches look greasier. You try to “clean it better,” but that can make it sting and peel more

By Doug Williams, MPAS, PA-C Aloha Festivals in September. Family photos and hula with people you have not seen in a year. Your skin needs a plan. Here is the Kailua timeline that works. If you wait until event week, your choices get small. You can hydrate, calm, and protect. That helps, but it is not the same as giving your skin time to respond to treatment. Fine lines, sun spots, dull texture, dryness, and redness all run on different clocks. At Hawaiian Islands Dermatology

Sun spots and broken capillaries. That flush that came back in your 40s. BBL and IPL treat exactly what Hawaii puts on your face, when the depth and settings are right. If you live in Kailua, Oahu, sun damage is not an abstract idea. It shows up as brown spots on the cheeks, redness around the nose, tiny red vessels, and skin that looks more uneven than it used to. A good light treatment can help, but it has to be matched to your skin tone, your pigment pattern, and your real

You tan, and light patches show up on your chest and back. Sun damage was your first guess. It isn't. This is tinea versicolor, and Hawaii is one of the worst places for it. If you live in Kailua, Oahu, surf before work, paddle on weekends, sweat through your shirt, or spend a lot of time in the sun, these spots can feel like they came out of nowhere. They often show up more after tanning because the normal skin darkens and the affected skin does not. The good news is that ti

You have thick red patches with silvery scale that come and go. Diet did not fix it. Sun helped some, then did not help other times. The 2026 story is different, and you deserve to know it. Psoriasis is not just dry skin. It is not poor hygiene. It is not something you “caught” from someone else. It is a chronic autoimmune disease, and it can affect your skin, joints, mood, and long-term health. At Hawaiian Islands Dermatology in Kailua, Oahu, Doug Williams, MPAS, PA-C evalua