Vitiligo Medical and Surgical Management with Grafting methods
Vitiligo is a condition of the skin that affects around 2 percent of the population across the world. It is a common condition among people living in South Asian countries. This condition of the skin can be debilitating and can severely affect the social and personal lives of people. It is looked at as a taboo in most parts of the world and people with vitiligo need immediate treatment. However, this condition of the skin can be treated and that’s the good news for many. This article deals with the medical and surgical management of vitiligo with the help of grafting techniques and can be extremely beneficial for people with this health condition.
Managing this acquired disorder of pigmentation or vitiligo can be really challenging and needs a multi-dimensional approach. In the last two decades, the process of grafting to treat vitiligo has gained immense popularity owing to its effectiveness. The different grafting techniques are as follows:
- Miniature Punch Grafting: This process is also known as minigrafting. Of all the grafting procedures this is the least expensive and the simplest procedure. This procedure involves transferring of very small circular pieces of skin from the site of the donor to the recipient area.
- Split-thickness skin grafting: This process is considered to be one of the best surgical methods to manage vitiligo.
- Suction Blister Grafting: This procedure is done to obtain thin skin grafts and it is done by making a split at the dermo-epidermal junction of the skin. These grafts are used to apply on the affected areas of the skin. This process has unmatched benefits and causes minimal scarring at the donor or the recipient site.
- Non-culture epidermal suspension transplant: In this procedure, several cellular components of a skin graft is separated. The skin grafts are then applied to the recipient or affected area. This procedure is also known as non-culture melanocyte transplant.
- Cultured Melanocyte transplantation: this technique involves separation of the epidermis by trypsinization. The keratinocytes and the melanocytes of the skin are separated and later planted in a melanocyte medium that contains the required growth factors. This technique helps to treat large areas in a single session.
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Dr. Sajjan R. Agarwal
M.D.(SKIN), D.D.V., F.C.G.P.FIMSA
Skin Specialist | Cosmetic skin surgeon | Hair Transplant Surgeon
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