Vitiligo:Cosmetic Surgery for White Patches at Bembde Hospital , Aurangabad , Maharashtra , India
Vitiligo or Leucoderma or White Patches is a common condition where white patches develop on the skin due to loss of pigment from affected areas of the skin. There are usually no other symptoms. In some cases the pigment can be restored with medical treatment & phototherapy without surgery. Also the affected area can be covered by skin camouflage creams& colors.
If the vitiligo is noticeable by other people, embarrassment can lead to self-esteem problems, and in some cases depression. Thus it is considered as a social stigma. These girls & boys with white skin patches, especially demand correction if they are in marriage age group. Some elderly parents also wants vitiligo correction to avoid rejection of their son or daughter for marriage, as vitiligo is known to run in some families.
Plastic Surgery Treatment for Vitiligo:
Surgery is very much helpful in stable vitiligo patches. Especially in marriage age group patients, if there is very slow or no response to medical treatment, then plastic surgery is a better and quicker option.Surgery is contraindicated in children & in active unstable vitiligo patches. Outcome varies with the body areas involved such as lips, genitals, eyelids, bony prominences, etc.
Autologous skin grafts
Skin grafts using blisters
Micro pigmentation (tattooing)
Autologous melanocyte transplants
Autologous Skin Grafts:
This is most commonly used surgical method. Plastic Surgeon harvest skin grafts from the normal, pigmented skin (donor sites) and places them on the dermabraded surface of depigmented areas (recipient sites).
Skin graft procedure should never be performed in children. It should be performed in adults only if no new white patches have appeared or become worse in at least a year, and if the vitiligo was not originally triggered by damaging the skin due to a sever sunburn. Such skin grafts are used as sheets of graft or as small stamp grafts with Meek Micro-grafting technique. Sheets of split skin grafts produce uniform pigmentations with no cobblstoning.