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Vitiligo surgery

Vitiligo surgery refers to a group of surgical procedures aimed at treating vitiligo, a skin disorder characterized by the loss of pigment in patches of skin, resulting in white or depigmented areas. These surgical techniques are typically considered when other treatment options, such as topical medications or phototherapy, have been ineffective in repigmenting the affected skin.

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Surgical procedures used to treat Vitiligo:

Skin grafting: In this procedure, healthy skin containing melanocytes (pigment-
producing cells) is harvested from another part of the body and transplanted
onto depigmented areas of the skin. This can be done using split-thickness skin
grafts, where only the outer layers of skin are transplanted, or full-thickness skin
grafts, where the entire thickness of the skin is transplanted.

Punch grafting: Small circular sections of skin containing pigment cells are
harvested from donor sites and transplanted into depigmented areas using a punch biopsy tool. This technique is suitable for smaller areas of vitiligo and can
produce more natural-looking results.

Suction blister grafting: This method involves creating blisters on the donor site
by applying suction, which separates the epidermis (top layer of skin) from the
underlying dermis. The blister roof containing melanocytes is then removed and
transplanted onto depigmented areas.

Melanocyte transplantation: In this procedure, melanocytes are extracted from a
donor area of the patient's skin, typically the unaffected skin, and cultured in a
laboratory to increase their numbers. The cultured melanocytes are then
transplanted onto depigmented areas of the skin, either by injection or by
applying them onto the skin surface after dermabrasion or laser ablation.

The goal of vitiligo surgery is to repopulate depigmented areas of the skin with
melanocytes, restoring pigment and improving the cosmetic appearance of the affected
skin. However, it's important to note that not all cases of vitiligo are suitable for surgical
treatment, and the success of these procedures can vary depending on factors such as
the extent of the vitiligo, the location of the affected areas, and the individual's response
to treatment.

As with any surgical procedure, there are potential risks and complications associated
with vitiligo surgery, including scarring, infection, and poor graft survival. Therefore, it's
essential to consult with a qualified dermatologic surgeon to determine the most
appropriate treatment approach based on the individual's specific condition and
medical history.

Other Sub Specialities

Clinical dermatology

Biopsy – skin and hair

Nail removal surgery

Sebaceous cyst surgery (microsurgery)

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