The 2018 Miss Waikiki, Honolulu and Oahu USA and Teen USA pageants concluded with Lacie Choy winning the title of Miss Waikiki USA 2018, Steisha Sheather winning the title of Miss Honolulu USA 2018, Kayli Obrero winning the title of Miss Oahu USA 2018, Ashley Hill winning the title of Miss Waikiki Teen USA 2018, Haley Blount winning the title of Miss Honolulu Teen USA 2018 and Kalei Perreira winning the title of Miss Oahu Teen USA 2018. They also won the opportunity to compete in the 2019 Miss Hawaii USA and Teen USA pageants.