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Vitiligo surgical treatment

Surgical treatment is considered as a last option. It is used in a limited number of cases. Surgical treatment of Vitiligo should be particularly avoided in an individual who scars abnormally or has lost pigment after a small wound or scrape. Surgical therapies for the treatment of Vitiligo are still viewed as experimental because their effectiveness and side effects have not been fully defined.

In autologous skin grafts, normally pigmented skin from one area of a patient's body is taken and attached to an area of Vitiligo. This type of skin grafting is sometimes used for patients with small, stable patches of Vitiligo. 

Traditionally these are the main criteria considered for the surgical treatment of Vitiligo:

Vitiligo has been stable for at least one year.

Vitiligo has not or no longer respond to PUVA treatment.

There is no history of loss of skin color after suffering a small cut or scrape.

Vitiligo is classified as "Segmental Vitiligo" (affected area only on one side of the body).

Skin grafts work in a majority of well-selected cases. The site from which the skin is taken (commonly the thigh or buttocks) is often left with scarring. The treated area may also present some of the following changes:

- a cobblestone appearance 

- a spotty pigmentation

- no repigmentation.

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