Hello. Thank you for writing to us at healthcaremagic.
I will keep a possibility of a patch of
stable vitiligo.
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 options include either punch grafting, autologus
melanocyte culture and
transplantation, suction blister grafting Or 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 post-surgery and since the white patch on your hand has remained stable for 5 years, therefore, it is quite suitable for a surgical procedure.
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