Vitiligo-Surgery
Vitiligo-Surgery
Vitiligo Surgery
As dermatologists, our aim is to restore pigment and improve the self-image of patients living with vitiligo. When medical therapies don’t work, and the disease is stable, surgery becomes a valuable solution.
Why Surgery?
In chronic vitiligo, pigment cells (melanocytes) may be absent. Surgical procedures physically reintroduce these cells to white patches, helping restore natural skin tone where creams and light therapy fail.
What's Included
Common Surgical Techniques
- Punch Grafting: Small plugs of pigmented skin implanted in white patches. Best for small areas.
- Suction Blister Grafting: Suction-created skin blisters are grafted. Blends naturally and heals smoothly.
- Split-Thickness Skin Grafting: A thin skin layer is applied to larger patches. More intensive procedure.
- Melanocyte Transplantation: Advanced technique using a cell suspension from the patient’s own melanocytes.
- Hair Follicle Grafting: Melanocyte-rich follicles used for repigmenting areas with white hair (leukotrichia).
Candidate Selection
- Stable vitiligo (6–12 months without spread)
- No signs of Koebner phenomenon
- Failed topical and phototherapy treatments
- Psychologically prepared with realistic expectations
Post-Operative Care
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Post-surgery, we advise gentle wound care, sun protection, and sometimes phototherapy (NB-UVB) to stimulate pigmentation. Follow-up visits are essential to assess progress.
Results and Limitations
- Visible and long-lasting repigmentation in stable areas
- Color blending may vary based on technique and skin type
- Repeat sessions might be needed in some areas
- Areas like fingertips, lips, and joints respond slower
Dermatologist’s Note:
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“Vitiligo surgery is not just cosmetic — it’s therapeutic. It brings back not only color but confidence. With proper selection and technique, results can be life-changing.”
Medicine Use Disclaimer: Do not self-prescribe or start any medication or topical treatment without consulting a qualified doctor. Improper use can lead to side effects, resistance, or complications. Always follow professional medical advice.