Derm Bamboo Shoots

Skin Conditions


A rash is a change of the skin which affects the color, appearance and texture.  A rash may be localized in one part of the body, or affect all of the skin. Rashes may cause the skin to itch, become warm, bumpy, dry, cracked or blistered, and may also be painful.

The causes, and therefore treatments for rashes, vary widely. Diagnosis will take into account not only appearance and symptoms, but to what you may have been exposed, the use of new products, your occupation, and occurrence in other family members.   We are the skin experts, let us help you to get rid of your rash!


Rosacea is a chronic inflammatory condition that causes redness and swelling.  Those bothered with rosacea are typically light skinned and have a tendency to flush or blush easily.  Rosacea occurs most commonly in people 30 to 50 years of age.

Rosacea. Erythema and telangiectasia are seen over the cheeks, nasolabial area and nose. Inflammatory papules and pustules can be observed over the nose. The absence of comedos is a helpful tool to distinguish rosacea from acne.

Although rosacea’s cause remains unknown, it appears to involve a combination of genetics and environmental factors.  It is not contagious nor a health risk. But the symptoms of this disease can be acne or sensitive skin and can cause embarrassment.

Rosacea is worsened by sun, stress, heat, and excess alcohol or spicy foods.  There are excellent treatment options that are very effective to treat it and help keep it from getting worse.


Melasma is a distressing skin condition most commonly found on the face. Excessive pigment collects in the skin causing uneven brown blotchy patches predominantly on the cheeks, forehead and upper lip.  Melasma is most prevalent in women, especially those who are middle-age, pregnant, on birth control or hormone replacement therapy.

This condition is physiologically disturbing for many women and difficult to control without good advice and skin care.  So many women think that there is nothing that they can do…but this is manageable!  Come in today and learn how!

Melasma / Brown Spots
Melasma / Brown Spots before and after treatment.

Brown spots and age spots are from sun exposure.  They are flat, oval areas of increased pigmentation, usually brown.  Age spots increase on skin that has had excessive exposure to the sun over the years. Typically the face, chest, back of the hands, shoulders and upper back are what bother patients the most.

These spots range from freckle-size to more than a centimeter and can group together, making them more prominent.  Intense Pulse Light and Dermasweep for brown spots are our most common treatments…why?  Because everyone loves the results!


Eczema or Atopic Dermatitis is a common skin disorder associated with dry skin, which begins with intense itching that is aggravated by scratching. Eczema most commonly affects babies and children but it can persist in to adulthood.  It is most common for babies and children. More often than not, eczema goes away as a child grows older, though some children will continue to experience eczema into adulthood.

Adults can develop eczema, too, even if they never had it as a child. Eczema is more common in allergy-prone people and tends to have triggers such as heat, humidity, detergents/soaps, abrasive clothing, chemicals, smoke, as well as stress.

Symptoms of eczema

Eczema is usually itchy. For many people, the itch is usually only mild, or moderate. But in some cases it can become much worse and you might develop extremely inflamed skin. Sometimes the itch gets so bad that people scratch it until it bleeds, which can make your eczema worse. This is called the “itch-scratch cycle.”

What to look for:

  • Dry, sensitive skin
  • Red, inflamed skin
  • Very bad itching
  • Dark colored patches of skin
  • Rough, leathery or scaly patches of skin
  • Oozing or crusting
  • Areas of swelling

You might have all of these symptoms of eczema or only just a few. You might have some flare ups or your symptoms could go away entirely. But the only way to know if you have eczema for sure, is to visit the Dermatologist so that your can be properly assessed.


Psoriasis is a chronic (long-lasting) disease. It develops when a person’s immune system sends faulty signals that tell skin cells to grow too quickly. New skin cells form in days rather than weeks.


The body does not shed these excess skin cells. The skin cells pile up on the surface of the skin, causing patches of psoriasis to appear.

Psoriasis may look contagious, but it’s not. You cannot get psoriasis from touching someone who has it. To get psoriasis, a person must inherit the genes that cause it.


Fungal infections are due to an overgrowth of microscopic-sized organisms that normally live on everyone’s skin, without causing problems.  In some instances they grow out of control and cause infections.

Nail Fungus

Fungal skin infections are very common, they can appear anywhere on the body, typically the skin, hair and nails.   These are easy to treat with diligence, good advice and the right products.  Don’t let this get worse, come in today!


We may use a prescription topical or oral medication to speed up the process of clearing your skin condition.  After evaluating your individual needs, recommendations will be made for a treatment plan, which may include a written direction for the preparation, compounding, and administration of a medicine.

We’ll be happy to phone your prescriptions to your pharmacy of choice.


Acne is caused by the overproduction of oil, irregular shedding of dead skin and the buildup of bacteria.

Keeping your skin clean and exfoliated and eating a healthy diet can be effective in helping to reduce acne but more aggressive treatments may be needed. Hormones play a major role in the development of acne.

Don’t be frustrated with acne; know that we can help you.

Schedule a focused visit to discuss your specific needs. Stubborn acne may require more than one type of treatment.

Acne Before After
Acne before and after treatment.

Treatments Include:

  • Photodynamic Therapy (PDT)
  • Nurse Clinic
  • Peels
  • Intense Pulsed Light (IPL)
  • BLU-U
  • Nutritional Counseling
  • Allergy Testing
  • Youngblood Mineral Makeup
  • HydraFacial MD
  • Stress Management
  • Hydration & Exercise

Acne Scarring

Acne scars develop in areas where former cystic blemishes have been.  Acne scars are slow to resolve and no single treatment is best for everyone. Pigmentation is from sun exposure while acne is healing.  Pore size is genetically determined, but pores get larger when filled with sebum.  Sebum increases with hormones, poor skin care, and slower natural exfoliation with age.  Sebum is removed and pores “cleaned out” with exfoliation.

It may require a combination of treatments to address these conditions.   Come in and start on a plan now, with time and attention, these will slowly fade away!

Treatments Include:

  • Fractionated Light Laser
  • Peels
  • CO2 Laser
  • HydraFacial MD


Used to treat patients who are suffering from severe and sustained deep tissue acne cysts or nodules. This type of acne is difficult to clear up with the usual acne treatments such as topical medications.  Deep tissue acne can be painful and last for months, if left un-treated, this type of deep acne can cause permanent scarring.

An injection may be appropriate for fast and effective relief of severe acne, especially if you have a special event to attend in the near future.

Things to Know

  • Used to treat deep tissue acne cysts or nodules
  • Fast and effective relief of severe cystic acne break-outs
  • Part of our nurse acne clinics

From Our Patients

"Dr. Monica Scheel and her staff are the best medical practitioners I’ve experienced during my 70 trips around the sun. Too often, medical offices with great doctors are poorly run - wait a long time - sometimes hours - beyond my appointment time to see the physician, only to get a perfunctory exam and a few minutes. Med schools can train the best docs, but the business management and marketing skills they need to run a practic get short shrift. Unlike too many others, Dr Scheel’s office runs like a Swiss watch - always on time - yet there is never a rush to get me in & out. The nurses, Physician’s Assistants, and Dr Scheel are unfailingly gracious, and thorough in their examinations and discussions about treatments and procedures. I highly recommend Dr. Monica Scheel Dermatology, and have referred friends and associates to her office." - Jim O.
Was it just a scratch, a cut that wasn’t healing properly? That is what it seemed like. Thankfully I had a skin check already scheduled with PA Trisha. She didn’t like how it looked and explained how wounds that don’t heal can in fact be precancerous. She did a scrape and indeed, the biopsy came back positive for squamous cell carcinoma. Thankful for Dr Scheel and her staff building awareness in all of us to be on the lookout for anything on our skin that just “doesn’t seem normal.” My advice - schedule an appointment for a skin check! Thank you Refresh team!

I saw PA Brooks for my full skin check as well as my dysport and he is amazing at both medical and cosmetic visits! I have also seen Casey a few times for the new diamondglow facials as well as microneedling and she is very professional and knowledgeable about skincare.

"I saw PA Brooks for my first ever full skin check and both him and his medical assistant Megan made me feel super comfortable. They are very knowledgeable and truly care for their patients. I look forward to my next visit."

"I recently had a full body skin check and a Diamondglow treatment. I was warmly greeted by Megan in the waiting area and she explained everything that would happen during my appointment, it was a nice start to my appointment. I was met by Brooks and Tara in the exam room for my skin check. Brooks is my man from now on. He showed a real interest and genuine concern throughout my exam. Tara was on the money assisting Brooks during my skin check. I followed up the appointment with a Diamondglow facial from Casey. Casey made me feel comfortable from the moment she met me. It was my first facial and I've already scheduled another based on my experience with her. Upon check out, Lauren was prompt and efficient with my payment and setting up my follow-up appointment. It was a pleasant visit from start to finish."
"I always appreciate Dr. Scheel's attention when I meet with her. I never feel as though she is in a rush to get to the next patient. She always answers my questions and gives me information to improve on my health. As a melanoma survivor, I so appreciate her encouragement to get my annual labs and xrays. Her staff members are always friendly and helpful. I highly recommend Dr. Scheel Dermatology. We are so fortunate to have her in our community." - Tina C.

"Fantastic service! No waiting, everything clearly explained beautiful clean sterile offices. Doctor Scheel is extremely knowledgeable and very patient to answer any questions. Doctor Scheel offered sound advice for my skin care moving forward. I would not trust anyone but Doctor Monica Scheel for all of mine and my families skin care." - Tom A

"I have nothing but respect for Patricia PA. Patricia actually saved my husband's life by diagnosing his melanoma on his right shoulder. Patricia walked into the room and said "that's coming out now". She also identified reasons why I was having acne breakouts in my 50's. The blood test IGg identified numerous foods that contribute to the formation of acne. We have had several other procedures done by Patricia. We love and trust Patricia!" - DeLisa D.

"I could not be more impressed with my visit. After 50+ years in the Hawaiian sun, this was my first visit to a dermatologist. I never even asked a question because the staff was so thorough in both presentation and examination. I have total confidence the health of my skin is in good hands." - Kimo H.

After having an undiagnosed illness for quite sometime, Natalie Hammond at Dr. Scheel's office quickly diagnosed my condition and began a course of treatment. The office staff is very friendly working in a professional and clean office. I have no worries when I enter the office for my monthly visits. All COVID protocols are followed and enforced. - Rita M.

Honestly my best experience with any dermatologist on the Big Island. From booking an appointment, checking in, procedure, and check out. Very easy, and very well adapted to COVID-19 protocols/regulations. The office atmosphere in general is beautiful. I felt very safe and comfortable. I've been to other dermatologists and waited over an hour and a half just to see the doc. With my experience at Monica Scheel, there was very little to no wait at all! I was very hesitant to book at first for removing my facial moles, because the thought of sharp objects near my face terrify me, but PA Natalie and Brooks were very friendly, and made my facial mole removal experience a pleasant one! The procedure was done so quickly, I don't know why I've waited so long to get this appointment done. I highly recommend this dermatologist office! Thank you!

I am always amazed how professional all of the staff are, and feel very comfortable when I go to the Waimea office, especially now with the concerns of the virus, they have a wonderful protocol, so I feel safe. - Mary G.

THIS is how you run a medical practice: scrupulously punctual, unfailingly warm and considerate, thorough in their treatment, never rushed, and most important of all, highly trained and superbly skilled in their medical arts. Dr. Scheel, PA Natalie, and the entire staff set the high bar for the practice, both the medical care AND the business arts, of medicine. Brava!


I highly recommend Dr Scheel's office. I am a long time patient of Dr. Scheel. I can still remember my first visit. I was very impressed with the most thorough dermatological exam I had ever received and the care that went into that visit with a complete body scan and mole/spot mapping that is still referred to today. While I still maintain my medical visits with Dr. Scheel and her PA's, I have also ventured into Cosmetic visits to her office. I have been seen by Dr. Scheel, as well as her PA's and other providers and have had several procedures ranging from fillers and relaxers to hair removal, etc. I most recently received fillers from Tricia, who did an amazing job making me look refreshed and natural (never overdone). I trust in Dr. Scheel and her entire team for all of my dermatological needs.  - Kim Y.

I have gone to Marne (mostly in Waimea) for dermatology (checks for skin cancers and suspicious spots). She knows her stuff and cares about a patient's fears and comfort.  - Larry C.

Dr. Scheel and her team are amazing! I have had terrible cystic acne along my jawline since after giving birth to my second child. I never thought it would go away but within a week after my appointment it's almost completely gone. I was given 2 cream prescriptions, one for Am and one for Pm. I feel like I have my skin back! I also saw Dr. Scheel's office to have 2 moles removed. I was really nervous that it would hurt but the ladies were professional, quick and super clean. My husband (who has had multiple injuries in his life) even commented that the stitches were done so well. When it was time for them to be taken out I didn't feel any pain. I was nervous that it would hurt. Not at all. I was in and out in less than 10 minutes. Both areas have healed beautifully. Every few months I go in to have a hydra facial. They are my absolute favorite service. My skin feels so refreshed after each one. Self care is so important and this is what I choose to do for myself. I recommend her services to anyone looking for a highly experienced, professional dermatologist. Thank you Dr. Scheel and team!! 

If is was not for Dr Monica Scheel Dermatology Office, I would still not know that I had Melanoma on my leg. The spot was so small that I had not noticed it, and was discovered when I had my full body cancer screen check at Monica’s Office, with their professional and caring dedication to the customers.

Mom and I wanted to say MAHALO for all you did for us today!!!

When I called this morning to make an appointment for Mom, I was thrilled when Danielle said there was an opening at 11:45am. We felt a sense of relief since she has been in pain for a while. It was comforting to know there is no pressure sore or something skin related going on.

Your immediate glance to my arm was heartwarming. You cared so much to interrupt Mom’s appointment to look at my lesion. Taking the time to do the biopsy and explaining the next steps was the absolute best. It made me stop worrying about the unknown and know I’m taking steps in the right direction with your guidance.

Patient Care Coordinator Gia was also helpful and kind to both of us today – MAHALO Gia!!!

Dr. Scheel – your warm and friendly manner, combined with your professional expertise is such a gift. You exude genuine caring, confidence and competence. We feel so fortunate you are here in Kona.

THANK YOU so much for everything you did for us today !!!

While Melasma can be an extremely difficult skin condition to treat and can reoccur at any time – one that I may have to battle with for the rest of my life – I now feel that I have learned enough from Dr. Scheel to not let it get out of control as I allowed it to before.

Thank you Dr. Monica Scheel for taking the time to care and making me feel beautiful again from the inside-out. And thank you for helping me to believe that there is hope for Melasma.

Read full story for this patient here.

After twenty-four years of daily acne outbreaks and scarring on my face, I now have had a clear complexion for four months! I am beyond thrilled!

After several years of suffering with a skin condition on my hands, fingers and back, I went to a dermatologist (not Dr. Scheel) about 4 years ago. That doctor spent 5 minutes in the room with me, said it was psoriasis and nothing could be done about it.

I had heard of Dr. Scheel so decide to try a different dermatologist. My 1st exam was 45 minutes, at which time Dr. Scheel checked all of my skin and asked questions about my health and life style, stress level. She suggested doing a test to see if I had allergy or intolerance to 30 different foods, because that can be a cause. After the test results came back, we met again and was told that 5 foods (refined sugar, cows milk, wheat, eggs and oats) were at high levels in my body and that they all can cause inflammation (which psoriasis is).

Within the 1st 2 weeks of my new diet, I noticed that my psoriasis was diminishing and by the 5-month mark, it was virtually gone. Hooray!