Vitiligo is appearance of single or multiple depigmented patches on any part of the body. These patches gradually increase in size & cause lot of psychological stress in the patient. It is an auto immune condition and may have a genetic predisposition.
1. PRE OPERATIVE-
Initially the process appropriate for the vitiligo is discussed and hence vitiligo method to be used depends on the type and site of lesion. Hence, selection of the appropriate surgical technique is important for good cosmetic results.
2. ACTUAL PROCEDURE-Treatment of vitiligo or treatment of leucoderma usually takes a long time. Medical treatment helps arrest the spread of depigmentation and in some cases, may bring back the pigmentation. In majority of the cases, medical therapy only achieves stabilization of the vitiligo patch but fails to cause complete repigmentation.
The best option for the treatment is Excimer laser treatment for vitiligo or Narrow band UVB therapy may give a very good response in most of unstable +vitiligo, though complete therapy takes long time.
However, repigmentation in cases of ‘stable vitiligo’ can be achieved by various dermatosurgical techniques. There is plastic surgery for vitiligo as well.
The following techniques are used for the white patches treatment: Miniature punch grafting, ultra thin skin grafting for vitiligo, Suction blister grafting, Therapeutic spot or regional Dermabrasion, Melanocyte culture and transplantation, Tattooing.
3. POST OPERATIVE-
The treatment of white spot on skin requires a sessions for follow up in which diet and lifestyle habits are also examined and asked to follow. So that the vitiligo patches go off permanently.