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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Skin Transplantation Help To Treat White Patches On Skin?

hello doctor; i have white patches only on right side of my body starting from stomach to till below knees since 2 and a half year, i ve taken both PUVA & PUVB therapy, it is now almost stable. can i go for skin transplantation or punch graft or any other therapy.
posted on Fri, 14 Mar 2014
Twitter Sat, 10 Jan 2015 Answered on
Twitter Mon, 12 Jan 2015 Last reviewed on
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

That is a fairly large patch of vitiligo, extending down from stomach to below knee.
Stable vitiligo is defined as white patches which have remained as it is, for more than 1 year i.e no new patches appearing during that period and no progression of existing patches.
Surgery is definitely an option in recalcitrant, stable vitiligo patches that do not show adequate response to medical therapy.
Various surgical measures include:
-punch grafting,
-autologus melanocyte culture and transplantation,
-suction blister grafting,
-thin split thickness graft etc.
The basic principle of surgical treatment is autologous grafting of viable melanocytes from pigmented donor skin to recipient vitiliginous areas.
Stability of the disease process is the most important parameter to achieve a successful outcome. Stable disease makes sure there won't be any new patches at the site of harvest of melanocytes.
I suggest you to visit your dermatologist for the needful.

Regards
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Can Skin Transplantation Help To Treat White Patches On Skin?

Hello. Thank you for writing to us at healthcaremagic That is a fairly large patch of vitiligo, extending down from stomach to below knee. Stable vitiligo is defined as white patches which have remained as it is, for more than 1 year i.e no new patches appearing during that period and no progression of existing patches. Surgery is definitely an option in recalcitrant, stable vitiligo patches that do not show adequate response to medical therapy. Various surgical measures include: -punch grafting, -autologus melanocyte culture and transplantation, -suction blister grafting, -thin split thickness graft etc. The basic principle of surgical treatment is autologous grafting of viable melanocytes from pigmented donor skin to recipient vitiliginous areas. Stability of the disease process is the most important parameter to achieve a successful outcome. Stable disease makes sure there won t be any new patches at the site of harvest of melanocytes. I suggest you to visit your dermatologist for the needful. Regards