Vitiligo Awareness Month: The World Belongs to Them Too!

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Creating a world of harmony for people with Vitiligo needs a lot of effort & understanding from us. This non-contagious skin condition associates a lot of taboo, stigma and myths which many of us believe without having an understanding of the condition. In Indian society, skin colour is no doubt a big factor for social acceptance and in such a place, people with uneven skin tone often find themselves left out. This often leads to low self-esteem, lack of confidence and even depression in some cases for Vitiligo patients. Life is a gift and how we perceive it, shapes our world. The uneven patches often carry a love-hate relationship with the society and so with the patient’s life.

The world celebrates “VITILIGO AWARENESS MONTH” in June. The awareness this society needs is to understand this condition & accept Vitiligo patients. Almost 1-2% of the world’s total population is affected by this condition. Our skin gets its colour from a naturally occurring pigment – melanin which is produced by melanocytes. Vitiligo or white patches occur when these melanocytes start dying due to unknown reasons. Vitiligo is often called a disease instead of a disorder and that can have a significantly negative social and/or psychological impact on patients, in part because of numerous misconceptions that are present in large parts of the world. People of any skin type can get affected by this condition, but the patches are more noticeable on dark-skinned people. The condition is not life threatening and can be managed with modern treatments and therapies. The first signs of Vitiligo usually appear before 30s. Unfortunately, Vitiligo has no cure but there are a lot of treatment that patients can go for.

Here are some tips given by Dr. Munish Paul to help Vitiligo patients.

  1. Sun exposure: Excessive exposure to the harmful ultraviolet (UV) rays can damage the skin, especially for a Vitiligo patient. Vitiligo skin is more vulnerable to get burned easily. Hence, Vitiligo patients are always recommended to avoid sunlight or use sunscreen while going out. Water-resistant sunscreen with an SPF of 30 or over are recommended which need to be reapplied every 2-3 hours. Protective clothing like sunglasses, covered clothing and hats are also recommended to avoid sun-exposure.
  2. People with Vitiligo always need to be extra careful with their skin. Skin trauma such as scrapes, cuts or burns may develop new patches and helps to widespread the condition. However, you may not stop accidents but do your best to avoid any kind of skin injury.
  3. Tattooing the patches is never a solution. Because tattoos are done by wounding the skin and causes trauma for the skin which may result in development of new patches within a few weeks.
  4. Like any health condition, Vitiligo can be best handled by leading a healthy lifestyle. A healthy lifestyle helps support the immune system. Eat a balanced, nutritional diet and work to reduce stress level. Stress leads to the occurrence of new Vitiligo patches and hence it is best to avoid it. Try meditation, yoga, etc., to minimise stress levels because mental health is an important factor for Vitiligo patients.
  5. Camouflage is the best way to cover the Vitiligo patches and always recommended for children too. Camouflage treatment helps to cover the Vitiligo patches with some concealing cream or makeup giving a unified skin tone. Such concealing creams stay on the skin for longer hours even days. Microskin is one such camouflage cream which stays on the skin for several days and also is water-resistant. This product is safe for children also.

Nowadays, with the advent of technology, Vitiligo has many treatment options like light therapy & surgical treatments. But it is always important to consult a certified dermatologist as soon as the first patch of Vitiligo appears. Early treatment Vitiligo helps to minimise the widespread.

Lastly, it is crucial for people with Vitiligo to not be undermined, discouraged or feel low and it is everyone’s responsibility to make an effort to understand the condition and create a discrimination-free world for them.

Dr. Paul’s Skin At Laser Centre, Vitiligo treatment is performed under the supervision of certified MD Dermatologists after an open discussion about the procedure, results, and possible effects of the treatment. Call today at 9803 029 029 to know more!

Vitiligo Treatment: Light Therapy & Surgery

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Vitiligo is a skin condition characterised by white milky uneven patches. These patches can be treated to even tone the skin. The choice of Vitiligo treatment depends on various factors such as patient’s age, percentage of widespread, the progression of the disease and how Vitiligo is affecting one’s life.

Light-based therapies are done to help restore the lost skin colour or to give a unified skin tone. Some people may also experience some side-effects and hence a skin specialist may recommend some self-tanning products before taking you through the treatment process.

Whatever the treatment process your skin specialist recommends, it will take a few weeks or even months to deliver the expected results. Also, be prepared to go for a combination of therapies where the doctor may prescribe more than one therapy to get the desired results through a best suitable treatment for your skin. Moreover, the doctor may prescribe some maintenance therapy to prevent relapse.

Light-based therapies

  • Phototherapy: Phototherapy performed with narrowband ultraviolet A (UVA) or ultraviolet B (UVB) has proven to stop or at least slow the disease progression. If used with corticosteroids inhibitors, the therapy works even more effectively. This therapy usually requires two-three sessions per week for two-three months to make a significant difference. Possible side effects of phototherapy include redness, itching or inflammation. However, these side effects usually go away within a few hours of the treatment.
  • Targeted Phototherapy: Also called as concentrated phototherapy, it is performed to delivers ultraviolet radiation on a targeted spot. This phototherapy is targeted on the skin lesion using special delivery mechanisms for treatment.
  • Depigmentation: This therapy is performed to remove the remaining pigment in Vitiligo affected person’s body. It is only recommended for patients with 50% or more widespread Vitiligo. To perform this therapy, the doctor will recommend applying depigmentation agent on the unaffected areas of the skin which will gradually lighten the skin tone to match with the Vitiligo affected areas. The therapy is usually given once or twice a week for a few months. It’s a permanent therapy and cannot be undone afterwards. This therapy does not cause any major side-effects. Minor side effects such as redness, itching, swelling or dryness may occur.

Surgical treatment for Vitiligo

Surgery is recommended when light therapy or other medications do not work to stabilise the condition. This treatment is also recommended for people with stable Vitiligo disease. Surgical techniques used to even out skin tone can be of different types.

  • Skin grafting: This procedure is performed by transferring very small segments of healthy, pigmented skin to the discoloured areas. This procedure is usually recommended for patients with small patches of Vitiligo.
  • Blister grafting: To perform this procedure, the doctor creates blister on the pigmented skin using suction and then transplants the blister tops on the discoloured patches.
  • Cellular suspension transplant: To perform this procedure, the doctor will take some tissue from the pigmented skin and will transfer them to a solution before transplanting them in the affected area. The results usually start showing up within four weeks from the procedure. These procedures may involve small risks of infection, scarring, spotty colour and failure to re-pigment the areas.

At Dr. Paul’s Skin Laser Centre, Vitiligo treatment is performed under the supervision of certified MD Dermatologists after an open discussion about the procedure, results, and possible effects of the treatment. Call today at 9803 029 029 to know more! 

Know Vitiligo: Symptoms & Treatment

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Vitiligo is a skin condition characterised by white patches on the skin. The patches can occur on any part of the body, even in the scalp and inner mouth. Our skin gets its colour from a naturally occurring pigment – melanin which is produced by melanocytes. Vitiligo or white patches occur when these melanocytes start dying due to unknown reasons. People of any skin type can get affected by this condition, but the patches are more noticeable on dark-skinned people. The first signs of Vitiligo usually appear before the 30s, but it can affect at any age.

Vitiligo is not a life-threatening condition, but it is stressful due to social stigma associated with it. Patients often struggle with low self esteem & confidence due to their uneven skin tone but treatment can help them gain their confidence back. Vitiligo treatment helps restore the skin colour of the affected area and unify the overall skin tone.

Symptoms

Signs & symptoms of Vitiligo include:

  • Loss of skin colour in patches. These patches usually first appear on the sun-exposed areas such as face, hands, shoulders & lips.
  • Loss of skin color in the lining tissues of inner mouth and nose.
  • Premature whitening or greying of the hair, eyelashes, eyebrows, beard and body hairs.

However, the signs of VVitiligo also depend on the type of Vitiligo one has such as:

  • Universal Vitiligo: Wwhen the loss of pigments occurs on nearly everywhere on the body.
  • Generalized Vitiligo: When patches occur in many parts of your body. It is the most common type of Vitiligo.
  • Segmental Vitiligo: When patches occur on only one side or part of the body. This type of Vitiligo usually occurs in children which progress for 1-2 years and then stops.
  • Localized (focal) Vitiligo: When patches occur on one or only a few areas of the body.
  • Acrofacial Vitiligo: When the patches appear only on face and hands, eyes, nose, ears and around body openings.

Predicting the progress of Vitiligo is difficult as sometimes the condition spreads widely or sometimes it stops spreading even without any treatment.

Treatment:

Cosmetic camouflage: This is performed with colouring creams to cover-up the white patches. Usually, a semi-liquid foundation-like application is applied to the skin to hide the depigmented white circles. When correctly applied as per doctor’s instructions, camouflage creams can stay up to 96 hours on the skin. Although the duration may decrease in the case of the face and other exposed areas.

Microskin is a new revolutionary camouflage technique that stays on skin for several days. It’s smudge-proof and waterproof which also allow the skin to breathe. It comes in over 100 shades and gives a natural skin tone,

Phototherapy: Light therapy or phototherapy given with narrowband ultraviolet A (UVA) or ultraviolet B (UVB) has shown to stop the growth of Vitiligo. This treatment is often given with corticosteroids or calcineurin inhibitors for effective results. The treatment is given two to three times a week for several months. Effective changes can be seen within 2-3 months of the therapy.

Excimer (Targeted Phototherapy): It is one of the most effective Vitiligo treatments where ultraviolet radiations are directly focused on the white spots. As the name suggests, this treatment only targets the white spots leaving the rest of the skin unexposed. Usually, this treatment is often recommended for localized Vitiligo patients.

Depigmentation: This treatment is recommended for patients with more than 50% widespread Vitiligo. It is applied to the unaffected skin area to reduce melanin percentage and make a unified skin tone. This is achieved by using strong medicated topical lotion or creams that reduce melanin percentage on the skin. It is a permanent treatment and the entire procedure may take up to 12 to 14 months.

Melanocyte Cell Transfer: under this treatment, the top layer of white spots are removed and replaced with healthy melanocytes(pigment cells) taken from other parts of the body. Within a few months of the transplantation, the melanocytes start working to produce melanin which results in the disappearance of the white spots.

Skin Grafting: under this procedure, a small section of healthy pigmented skin is transferred to replace the depigmented skin areas. This treatment is recommended for Vitiligo patients with limited Vitiligo spots. Due to the complexity involved in this procedure, doctors only recommend it when all other treatment fails to restore the lost skin colour.

At Dr. Paul’s Skin Laser Centre, Vitiligo treatment is performed under the supervision of certified MD Dermatologists after an open discussion about the procedure, results, and possible effects of the treatment. Call today at 9803 029 029 to know more! 

Go Hair-free but Carefully | Avoid Laser Hair Removal Complications

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Laser hair removal has definitely made life much easier with its permanent solution to get rid of unwanted body hair. But is that all you need to know? Definitely not! Laser hair removal involves a lot of consequences if not done in a proper manner under the guidance & supervision of a medical expert.

Let’s start with the areas where hair growth is just not welcome, like upper lips, eyebrows, cheeks, ear tops, axillae, bikini lines etcetera. Many women even choose to go for full body hair removal. Well, choosing laser hair removal is not wrong but one needs to know the right place to get it done.

Reality entangled with laser hair removal which no one wants to accept:

  • Small temporary PIH or redness can happen
  • Recovery period varies for individual
  • Fine hair or grey hair cannot be cleared
  • 100% clearance is not possible in certain conditions

Many people sign up for parlour packages to get laser treatment done over skin clinics due to affordability without knowing the consequences.

Going under untrained hands leads to a number of complications like:

  • Post-Inflammatory Hyperpigmentation (PIH)
  • Hyperpigmentation
  • Atrophic scar
  • Various eye issues after eyebrow hair removal
  • Acne
  • Burns & blisters

Why do these complications happen?

  • Not doing proper test treatments prior to conducting laser hair removal sessions.
  • Selection of the wrong laser without examining skin type.
  • Unprofessional handling of the laser system with no/little understanding of lasers or interaction of lasers with skin.
  • When not used properly, the safest laser beams can harm the skin layer, even causing serious injuries.
  • Poor selection of the area to be treated and choosing the wrong parameters.
  • Attempts to remove fine hairs or grey hairs with laser treatment which is not possible.
  • Fluence or intensity used which is too high, too many passes, inadequate post-treatment cooling, poor overlap technique and inadequate pulse sequencing resulting in thermal damage to the upper layer of the skin.
  • Taking frequent sessions without maintaining adequate time gap which is required for skin healing.

All these above complications happen due to lack of proper training which can be avoided easily with awareness. Dermatologists in the professional skin clinics are the one who has the proper training for laser handling and knows how to handle each laser with different skin type.

This is why expertise is needed! Go for Laser Hair Removal at Dr Paul’s Skin Laser Center

Vitiligo Laser Treatment: Why One Should Go for It

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Vitiligo, an autoimmune condition specifically marked by the white patches that appears on the skin. The reason behind this condition is still unknown but vitiligo treatment clinic describes that autoimmune cells suddenly starts killing the healthy pigment cells which results into vitiligo patches. Though vitiligo laser treatment has come as a bliss for many, yet the white patches makes life harder for the patients. It can happen with both children and adults and even can be congenital problem too. skin gets the color from melanin cells and losing them means skin loses color. More pigment cells mean darker skin tone and less pigment cells means lighter skin tone while no pigment in certain areas means uneven skin tone. Losing pigment at certain spots in an uneven manner means vitiligo spots arises. The vitiligo treatment clinic offers best technology such as vitiligo laser treatment which helps to treat the spots.

Around 2% of the world population is estimated to fighting with vitiligo and found in both adults and children. Even, gender is not an aspect to get this condition and one can get the starting sign at any age. Although, it tends to appear between 20-30 years age but not stays limited to that. People over these ages can also get this condition. People with family history of vitiligo are more likely to get these patches. Even it has been seen that people with vitiligo often have some other autoimmune diseases too such as Hashimoto’s thyroiditis or type 1 diabetes. This is why, before giving vitiligo treatment in Delhi specialists check for symptoms related to these conditions.

Types of vitiligo:

Segmental Vitiligo – only 10% of the cases are found to be of this sort of vitiligo where patches appear only in certain areas of the body.

No segmental Vitiligo – most vitiligo patients get this type of vitiligo where patches appear all over the body even in the genital areas.

Vitiligo patches often appears on the sun exposed areas of the body such as face, neck and hands. The patches are always pale white and can be small or big. Vitiligo can be treated to slow the widespread and some treatment helps to get the melanin back into skin. However, there is no complete cure exists for vitiligo, but the discoloured skin can be restored back to normal color. Vitiligo laser treatment is one such treatment offered by vitiligo treatment clinic that helps restores the discoloured skin. In vitiligo laser treatment, UV or PUVA or low bandwidth UVB lasers are used to eliminate the patches.

Vitiligo Laser Treatment

At various vitiligo treatment clinic, they offer best treatment to manage the spots and affected patchy and discoloured skin. Vitiligo laser treatment can be used in two ways. In case of smaller patches, or if the patient has few patches over the body only then the laser rays are thrown on that specific area where the skin need to go under regimentation process. But in most of the cases, the patches are widespread, and, in that case, the patient are made to enter in a light chamber and the whole body gets throw the laser beam. Light chamber vitiligo laser treatment process involves laser imposition on the whole body to give a re-pigmentation treatment.

De-pigmentation, in certain vitiligo treatment clinic in Delhi, offer treatment under supervision of best doctors who are best skilled at treating the vitiligo spots. The treatment involves fading the surrounding skin on the body, or face, to match with the white patches or white spots. Depigmentation therapy is the best treatment option for white spots disease if vitiligo or white spots disease on more than 50 percent of a patient’s body.

In this procedure, the monobenzone drug is applied twice a day to the pigmentation areas of the skin, including face, hands and feet, until they match the areas without pigmentation. Some patients, who are resistant to depigmentation with clinic drug monobenzone will need Q Switch NDYAG Laser, available in approved clinics, skin centers or hospitals, to destroy the cells with pigmentation caused by vitiligo giving patients the best possible results by doctors in Delhi.

Sometimes vitiligo treatment clinic prescribe treatment which is a combination of an ointment with the vitiligo laser treatment. For few cases, such treatment is required which is decided by the surgeons. Patients may need several sessions for the laser therapy and may require to be reaped twice in a week to receive the best results.

Cost of Vitiligo Laser Treatment

Many people give a wonder eyes when they hear about vitiligo laser treatment. People think that it is a costly treatment but nowadays many vitiligo treatment clinics offer an affordable treatment. They design a treatment package for vitiligo laser treatment that are quite affordable for the common man, they understand that people might need to go for several sessions and thus tailoring the prices will help them retain maximum number of patients.

White Patches of Vitiligo: Cause, Symptoms & Treatment

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Vitiligo is an autoimmune condition which causes white patches on the skin. In this condition, the melanocyte cells start dying for unknown reasons and melanocytes are the cells responsible for giving colour to our skin. the immune cells of our body start to kill the melanocytes cells and triggers white patches of vitiligo. It is a sheer truth that immune cells play a vital role in our skin health. White spots on skin treatment may help to reduce the widespread but cannot cure the condition completely.

White patches of vitiligo types:

  • Non-segmental vitiligo: The most common type where patients get white patches on both sides of the body.Segmental vitiligo: In this, the patients experience white patches of vitiligo mainly in one area or segment of the body. Such type vitiligo cases are very rare and only 10% of the patient experience it.

The confusing thing with this condition is it is hard to predict how long and to what extent the white patches of vitiligo will be spread. Vitiligo can start at any age but typically it shows first signs by the age of 30s as said by many white patches on skin treatment hospitals. The reasons why immune cells start attacking the melanocytes is still unknown but genetical & environmental triggers are there. It has been seen that people with a family history of vitiligo are more likely to get this condition.

Triggers of Vitiligo:

However, there are a number of factors that put people at an increased risk of developing white patches of vitiligo:

  • Genetics: As per many white patches on skin treatment hospitals, certain genetic profiles trigger the white patches of vitiligo to appear. Researchers have identified around 30 genes that are responsible for vitiligo and the most important ones are NLRP1 and PTPN22. Around 20% of vitiligo patients are the one with the family history of this condition.
  • Environmental triggers: There are environmental triggers that escalate white patches of vitiligo. Environmental triggers induce melanocytes destruction which causes the white spots to appear. Some of the potential triggers include sunlight, chemical exposure, and trauma etc. These triggers even speed up the widespread in patients being diagnosed with white patches of vitiligo.

Autoimmune diseases: People with certain autoimmune diseases such as Hashimoto’s disease or alopecia areata are more prone to experience white patches of vitiligo. Among every 4 vitiligo patients, 1 always has some other autoimmune disease.

Signs and symptoms of Vitiligo

The biggest sign of vitiligo is the appearance of white patches on the skin. The white patches of vitiligo can show up anywhere in the body but usually first appear in the sun-exposed areas such as the face, hands, neck, feet etc. The spots can even appear in armpits, genitals and groin area.

Symptoms of vitiligo also include:

  • Premature greying of hairs
  • Eyelashes or eyebrows turning white
  • The retina of the eye changes colour
  • white patches in the inner mouth

Depending on the area where the white spots of vitiligo appear, specialists diagnose the widespread of the condition. Progress of this condition and widespread area of the marks varies from person to person. People who get white patches of vitiligo on both sides of the bodies are categorized as generalized vitiligo. Most people tend to get the white patches of vitiligo in only one side of the body.

Vitiligo makes skin more sensitive to sunlight. The white patches of vitiligo are the area with no melanin which stores the dangerous UV rays that cause various other skin conditions. People with vitiligo also may experience hearing issues or inflammation in the iris.

Moreover, rather than physical stress, white patches of vitiligo causes more mental stress. The way society looks and behaves with vitiligo patients, it often leads them to depression. If the white patches of vitiligo cannot be covered under the clothes, then it becomes a real struggle for the patients. They struggle with self-confidence & esteem and prefers to stay isolated from the society.

Vitiligo Diagnosis and Treatment

Not all white patches are vitiligo, they can happen due to other conditions as well. So, it is always good to see a dermatologist for proper diagnosis & treatment. To carry a proper diagnosis, the dermatologist may ask a few questions such as:

  • If you have ever been diagnosed with an autoimmune disease
  • If you have a family history of vitiligo
  • If you have experienced any skin condition recently.

All of these factors indicate the presence of vitiligo. Most of the time, the dermatologist identifies vitiligo by white patches on the skin and referring the given answers for the above questions. They also might use UV rays to identify the pigment loss.

Unfortunately, there is no cure available for white spots of vitiligo but there are several white spots on skin treatment exists which helps to lighten the spots. The treatment options include:

  • Cosmetic makeup and self-tanners to cover up the spots
  • Corticosteroid creams and tacrolimus ointments
  • Laser therapy
  • Pigmentation therapy
  • Skin grafting, blister grafting

These white spots on skin treatment may show few side-effects such as scar or dryness or itchiness but also promises good results.

White Patches on the Skin? It Can Be Vitiligo

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We all love flawless skin and make all efforts to get that. There is no one in this world who would like to have patchy or flawed skin. Yet, there are instances when many of us experience white patches on our skin. white patches on the skin can occur for a variety of reasons such as hyperpigmentation, vitiligo or other conditions. Treatment of white patches largely depends on the condition, but it mostly occurs due to pigmentation loss in the skin. Pigmentation cells or Melanin are the components that give colour to our skin. absence of these cells makes our skin discoloured. To understand the complete phenomenon of skin pigmentation.

What is skin pigmentation?

Pigments in our skin are called melanin, which is a complex polymer derived from the amino acid tyrosine. These cells are distributed throughout the epidermis, the top layer of the skin. Melanin are produced and spread to other skin cells which gives an even colour to our skin. Now, there are instances when these cells accumulate or cluster in groups which form moles, age spots, freckles or other dark spots. on the other hands, if in any place, the pigments cells get destroyed, it forms white patches on the skin. Such conditions are called hypopigmentation and require white patches on skin treatment to eliminate the spots.

What causes the white patches on the skin?

Loss of pigmentation causes major concern for skin and leaves white patches. These uneven patches are hard to eliminate as getting the lost pigments back is quite impossible. However, there are a number of treatments of white patches available that makes the journey easy. To get the correct treatment, it is important to understand and identify the right cause behind pigmentation loss.

What are the conditions that require treatment of white patches?

Tinea Versicolor:

The first one to name under this category is Tinea Versicolor which causes white patches on the skin. This condition occurs when a natural yeast called pityrosporum ovale overgrows of the skin and goes out of control. The patches appear can be lighter or darker which vary persons to persons.
The condition also may occur due to a variety of influencing factors such as hot weather, oily skin, hormonal changes, a weakened immune system, and excessive sweating. In most cases, people going through adolescence and growing young experience this disorder while visiting a warm or humid place. Such white patches on skin treatment are often done with anti-fungal medications which work brilliantly to eliminate the white patches.

Hypopigmentation:

Hypopigmentation is another condition which causes white spots on the skin. It may occur due to trauma, burns, scrapes, blisters, or other injuries which leaves scars on the skin and exhaust the melanin. There are instances when white patches on the skin happen due to inflammatory skin reaction or skin infection which affects or damages the melanin production. Such condition can be Seborrheic dermatitis, pityriasis alba, or eczema etc. Hypopigmentation white patches on skin treatment include creams, topical medications and laser treatments. Although this is a harmless condition, but treatments are required and sometimes treatment can be difficult too. But a good dermatologist prescribed treatment of white patches helps eliminate these white patches on the skin.

Vitiligo:

The major concern raises when the white patches om skin occurs due to vitiligo. This is not a contagious condition, but it is hard to eliminate the white spots with the treatment of white patches. The first sign of this condition always starts with small patches on the skin which gradually spreads through. These patches are most likely to appear first in the sun-exposed areas such as face, neck, shoulder, hands & feet. Although these patches are not contagious, they run through the gene.
The amount of damage caused by this condition is hard for any patient including the treatment of white patches. The amount of psychological damage is higher than physical damage and patients often choose a life with less social contacts. The society always raises eyebrows towards these patients mainly because of the damaged skin appearance and thinks it is contagious. For vitiligo patient, the white patches leave marks on their soul! It hugely affects patient’s way to look at themselves. Unfortunately, the condition has no cure but with the treatment of white patches, the widespread can be controlled.
Vitiligo is an immune system disorder that causes the skin to lose pigments. Basically, the immune cells attack and destroy these pigment cells for unknown reasons. Surprisingly, 4% of the world’s population has this condition. Vitiligo people are also more prone to other immune diseases. Vitiligo white patches on skin treatment include creams, topical medications and laser treatments. People mostly get these white patches between the ages of 10 and 30 but they may occur at later age too.
The Vitiligo white patches on skin treatment include:

• Topical treatment
• Cosmetic camouflage
• Ultraviolet light therapy
• Immune system modulators
• Conventional skin grafts
• Cellular transplantation therapies

Dermatologists apply the suitable treatment of white patches after a thorough understanding of the cause of vitiligo for the individual. Thus, the treatment varies from patient to patient. Sometimes. the condition is dynamic, where the pigment cells go & come back. The most sought-after treatment for vitiligo is laser therapy. Laser treatment of white patches stimulates the melanocyte stem cells to move from hairs to the skin. Over the years, it has shown a high success rate, but the treatment is quite slow. With two or three times a week session, people may see 25% re-pigmentation after three months, 50% after six months and 75% after nine months.
White patches on skin treatment may take time to eliminate the white patches on the skin but ultimately help the patients to leave a normal life.

Depigmentation Therapy for Vitiligo

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Vitiligo or leukoderma is an autoimmune skin condition that results in partial loss of skin pigmentation cells. Pigmentation cells called ‘melanin’ are responsible for our skin colour and absence of them results in white milky patches over the skin surface. The condition can affect any part of the body and cause white patches. However, commonly the condition starts appearing in the sun-exposed areas of the body such as face, lips, hands, feet, neck etc. Depending on the severity of the condition, doctors for white marks on the skin suggest various treatment. Depigmentation treatment is one of such treatment processes.

Depigmentation therapy:

Depigmentation therapy can be best described as a medical procedure to remove skin pigmentation cells. It is mostly used for patients with widespread vitiligo but has few patches of original skin colour left.  In simple words, people who have incomplete vitiligo on faces or other body parts can go under this treatment. It improves their appearance by giving an even skin tone.

This depigmentation therapy for vitiligo is done by using many methods such as Monobenzyl ether of Hydroquinone (MBEH), Topical Diphencyprone (DPCP), Imiquimod, Phenol, Cryotherapy and Lasers. Among them, Monobenzyl ether of hydroquinone and lasers are most commonly used and tend to deliver the best results. Doctors for white marks on the skin often use combination therapy as well for faster & better results.

This depigmentation therapy is considered for people with more than 50% widespread vitiligo and has patches over the body parts that are exposed or sensitive to cosmetics. It is necessary for the patients to understand some facts about the depigmentation therapy prior to taking it. These factors must be discussed with the patient to let them understand the process & side effects. These factors may include:

  • Nature of the treatment
  • Care and protection needed for the long run. For example, people undergone depigmentation therapy need to wear medicated sun protection to maintain the benefits of this therapy and reduce the risks of sun damage, cancer or other skin conditions.
  • Longer downtime and requires ‘touch–up’ sessions.
  • May have side effects depending on various individual factors.
  • Repigmentation can be patchy for a while.

Patients should be given the opportunity to discuss treatment options with their family and friends.

Monobenzyl ether of hydroquinone

Doctors for white marks on the skin commonly uses MBEH or monobenzone as the depigmenting agent to treat vitiligo patches. It is the only medically approved depigmentation therapy agent for treating vitiligo. It is a derivative of hydroquinone which causes irreversible depigmentation by killing the pigmentation cells. Depending on the individual, doctors may suggest different concentrations. The concentration also depends on the area to be treated for.

Side-effects also may cause after MBEH application, but they are mostly mild ones. If MBEH application causes transient irritation or burning sensation to the patient’s skin, then the doctor may stop the treatment for a while. In the case of blistering, scaling or dry skin, the doctor may suggest some topical corticosteroids cream to apply and stop the process for a while. If any of these side-effects happen, the doctor may reduce the strength of MBEH for next sessions. Very few cases of contact allergic dermatitis are found as a side-effect of this treatment which resulted in the permanent stop of this treatment. Few cases of exogenous ochronosis or ashy brown pigmentation have been seen after prolonged use of MBEH treatment. However, all these side-effects occur very rarely and only a few cases have been found around the world.

Application of monobenzyl ether of hydroquinone

Before starting the treatment, best clinics for white patches on the body always carry a tolerance test for MBEH. Under the tolerance test, the patient is given MBEH cream to apply daily for a week or two to apply in a small area such as inner upper arm or elbow. If no side effects experienced in this period, then patients are advised to proceed.

The MBEH creams are usually instructed to apply once daily for two weeks and then increase the daily application frequency. The creams should be applied around the pigmented area to lighten them. Such creams should not be applied on the eyelids or mucosal surfaces. Also, while under this treatment, the patients are advised to avoid sun exposure as that can cause repigmentation in the patches.

Usually, the treatment takes 1-4months to achieve desired results, but there are instances when vitiligo patients have to continue it for a longer period. However, the duration varies from patients to patients depending on various factors and their vitiligo patches.

It is always advised that if desired outcomes are not achieved within 4 months of use than this treatment should be discontinued. Once the cream has delivered the desired results, the patients need to use them intermittently as a maintenance routine. Usually, post-treatment applications are advised to do for twice a week, but it may vary for individual. Also, post-treatment, the patients need to apply SPF50+ broad-spectrum sunscreen daily to avoid repigmentation and sunburn.

Why professional services matters?

Taking depigmentation therapy services from random clinic never deliver the desired results and also could cause serious side effects. In the best clinics for white patches on the body, professional dermatologists do the proper skin test before proceeding with the treatment which minimizes the chances of side-effects and assures the best outcome.

Life of Vitiligo Patients | 6 True Stories

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People with vitiligo are often mistreated, looked down or shunned from society. Very few people understand that it’s a skin condition which is not fatal or contagious. People with vitiligo have to struggle mentally and emotionally more than physically. The way society treats people with vitiligo, it only worsens their condition and makes them withdraw from society.

Apart from the physical stress they feel, society’s behaviour towards them leaves a deep scar on their mind and many of them get into depression. Life becomes an everyday struggle for them, and people tend to hide from others. But there are some strong people who shared their story of struggle with everyone to lighten up society and raise the voice against the social stigma. These stories open our eyes that how crucial society can be towards physical outlook and how people with vitiligo feels like. Vitiligo is a never-ending journey, but our affectionate behaviour can make someone’s life easier.

Patients Stories

Amit Singh: encouraging life every day

While the society tries best to corner him, he encourages himself and always tries to make people understand that it’s just a different skin tone than others. This brave-hearted man knows how to face society with courage and takes only positive vibes. Am amazing story of inspiration for all of us!

Keya Anand: why I have to paint myself?

She is fighting vitiligo since her 5th grade and ever since society never missed a chance to make her feel low. Even her own parents used to tell her to cover herself and hide the white patches. Medicinal creams were given to paint her patches to look normal. Even after been through such a rough phase, the brave girl dared to share her story with us.

Rahat Khan: I want to Live!

In his turn of sharing his story, he managed to write at times he wants to end his life but in reality, he wants to live a normal life. Instead of writing a long story of sufferings, he only wrote that he is speechless and have no words to share his sufferings.

Shreya Gupta: who cares if you are judgemental.

The brave-hearted girl accepted her white patches with open arms and understand that its only a skin condition that requires a bit more expert care. While she lost all her friends due to these white patches, she made friends with them. Although society never missed to being judgmental, she believes in leaving a happy life. Such an inspiration and answer to social stigma!

Uditi Menon: are we really in the 21st century?

Once she was proud to have the white patches as she used to think that she is different. Well, this feeling lasted only for a while and the society reminded her that a girl with vitiligo is not a desirable one in the matrimonial market. Since her age of eight years, she has been facing such question like who will marry her which not only remind her but also questions if we are actually living in 21st century.

Rayna D’Souza: is an outlook that important?

She was bullied since her school age and had even rough college days. All because of her different skin tone which makes her question if the whole world is so cruel or if it’s only in India.

Can you relate to their stories? Which of them connects to you more? Do these stories help you to a bit more affectionate towards people with Vitiligo?

Vitiligo can be treated and, in some cases, can be cured too. But all they need is some empathy and acceptance from us to fight through the journey.

Melanocyte Cell Transplantation or MCT as Vitiligo Treatment

This surgical approach is now being considered as “may be a cure”. Unfortunately, science is still not able to find a permanent cure for this condition but there are many cases where Melanocyte Cell Transplantation (MCT) Melanocyte Keratinocyte Transplant Procedure (MKTP) as Vitiligo Treatment has made wonders.

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The new approach to treat vitiligo is cellular grafting. This surgical approach is now being considered as “may be a cure”. Unfortunately, science is still not able to find a permanent cure for this condition but there are many cases where Melanocyte Cell Transplantation (MCT) Melanocyte Keratinocyte Transplant Procedure (MKTP) as Vitiligo Treatment has made wonders. The idea of MCT is to remove the top layer of pigmented skin and replace it with healthy pigment cells (melanocytes) taken from another part of the body. Within a few months, the transplanted melanocytes start making pigment and deposit it to the surrounding areas. The success of this treatment wipes away the white spots and, in many cases, it has worked like magic. Patients with successful results don’t need any standard vitiligo treatments after that. However, not everyone is the right candidate for this Treatment of Vitiligo.

A Deep Insight into Melanocyte Cell Transplantation:

Vitiligo or white spots start appearing on the skin when immune cells sneak into the skin to find melanocytes and kill them. Melanocytes are the cells that produce pigment in our skin. So killing melanocytes stops the pigment production process and skin starts to lose its color.

In this Melanocyte Cell Transplantation (MCT) treatment, new melanocytes are transferred to the affected area. But, the immune cells active in that area kill the new melanocytes too which drives failure of this Vitiligo Treatment. This treatment shows higher success rate only if the disease is stable where the immune cells are quiet and no longer destroying the melanocytes. In such condition, the new melanocytes start working and bring the original skin color back. Now, the problem is, it is very difficult to know when the disease is stable. In common practice, the Dermatologist carries out this treatment only if the patient has no lesions from last 1-2 years.

This Vitiligo Treatment appears to be excellent for, segmental vitiligo patients. As in the segmental vitiligo, the disease is limited to one portion of the body, chances of success rates appear to be higher. 80-90% of such cases have seen success and may never require further vitiligo treatment. That’s the reason why this treatment is addressed as “may be a cure” which is normally never used for any other vitiligo treatment.

In Cellular grafting or Melanocyte Cell Transplantation (MCT), the top layer of the affected area’s skin is removed and melanocytes & other skin cells from normal skin is transplanted into that area. Among all other Vitiligo Treatment procedures, cellular grafting has appeared to be the most successful one until now. In medical terms, this process is also called as Melanocyte-Keratinocyte Transplant Procedure or MKTP.

But, I know only a few centers around the world that offer this treatment. This was the biggest reason I have started offering this treatment into my own SKIN LASER CENTRE. Here, we not only offer treatment but also provide post-treatment care to ensure the complete success of this process. This procedure requires special equipment and professional training. At our center, we have experienced excellent success rate for MKTP so far. As per my opinion and experience, it is the best Vitiligo Treatment for right patients, whom we decide after a careful series of examination. This procedure is a bit costly than others and thus I suggest the treatment only to the patients who fulfill the prerequisite health conditions.

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