Vitiligo is a skin condition of white patches resulting from loss of pigment. Any part of the body may be affected. Usually both sides of the body are similarly affected by a few too many milky-white patches. Common areas of involvement are the face, lips, hands, arms, legs and genital areas.

Vitiligo is the appearance of single or multiple depigmented patches on any part of the body. These patches gradually increase in size & cause lot of psychological stress to the patient. It is an auto-immune condition and may have a genetic predisposition. Treatment of vitiligo usually takes a long time. Medical treatment helps in arresting the spread of depigmentation and in some cases, may bring back the pigmentation too. In majority of the cases, medical therapy only achieves stabilization of the vitiligo patch but fails to cause repigmentation. However, repigmentation in cases of 'stable vitiligo' can be achieved by various dermato-surgical techniques.
When the de-pigmented patch does not increase in size , it is said to be stable. This is the right time to perform vitiligo surgery. If the patch is growing or is in an active phase, it needs treatment with medicines and / or PUVA till it stops growing.

The various surgical modalities available :

Method to be used depends on the the type and site of lesion. Hence, selection of the appropriate surgical technique is important for good cosmetic results.

1. Laser Assisted Vitiligo Surgery
2. Miniature punch grafting.
3. Ultra thin split thickness skin grafting.
4. Suction blister grafting.
5. Therapeutic spot or regional dermabrasion.
6. Melanocyte culture and transplantation
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