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! 

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.

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.

How vitiligo treatment can help boost confidence?

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The world statistics for vitiligo shows that almost 1% of the population is going through this skin condition. Vitiligo is an autoimmune disease where the immune cells attack & destroy the healthy melanin cells. This results in white patches appearing all over the skin, especially the sun-exposed areas. These patches are not contagious yet it affects an individual’s entire physical appearance. The condition indicts psychological stress enhancing social pressure on vitiligo patients that leads to emotional damage and their confidence to face the world, shattered.

To fight the emotional distress and face society with confidence, Vitiligo patients need to raise their confidence. Advancement in vitiligo treatment can help in stopping the widespread and may return the natural skin tone too. In vitiligo, the pigment cells in the skin die and fade away the natural color of the skin. The most complicated part of this condition is, it is dynamic and follows no pattern. Although no cure for such a condition exists, treatments are available to control the growth and bring the individual’s confidence back. A number of Vitiligo treatments are available today that helps patients cover their white patches and get back the natural skin tone.

The treatment can be classified into

  • Medical treatment: Oral / Applications
  • Light-based treatment: PUVA, PUVA sol, NB UVB, Excimer Laser and Light
  • Surgical treatment: Transplantation of skin or Melanocyte cells
  • Camouflage: Water resistant Make up to cover up the patches (Microskin)
  • Depigmentation: Removal of residual brown pigment in a case of extensive Vitiligo

Although the cure for this condition is not yet found but these treatments addressed above helps in hiding the patches and giving ‘normal look’. The normal look brings back the confidence in vitiligo patient. The progress of the treatment may take a bit of time but are extremely helpful in masking the white patches.

An individual chooses their own identity. They choose their own color, their own beliefs and their own ideals. Our society discriminates the different deeming them unfit or radical but their choices define who they are. An individual suffering from Vitiligo may choose to accept how they look and wear it on their sleeve and face the world with dignity, but those people whose vanity appeals to them about their physical appearance or are too shy to stand among the crowd and accept who they are, they have a way out with these treatments.

Social Pressure on Vitiligo Patients | Fight it With Microskin

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Vitiligo is a common skin condition related to the discoloration of skin in patches which spreads on the outer skin of the body.  Vitiligo patients in India often face a cruel social pressure which they do not deserve for sure. In India, many people also call this disease a result of the wrongdoings in their past lives and patients are blamed for their lesions. This undue pressure causes psychological stress on the patients and with time many patients go under depression too. A harmless disease like Vitiligo becomes a serious cause of concern due to social stigma and the many cosmetic reasons & expectations attached to it. However, there are ways to conceal Vitiligo patches which can help avoid social pressure and make better first impressions.Social Pressure on Vitiligo Patients

Microskin To Conceal Vitiligo Patches

Microskin is the new revolutionary cosmetic skin correction formula that covers up vitiligo patches and corrects skin discoloration. This light semi-liquid foundation-like application is put on the outer skin to hide the depigmented circles. The main difference between Microskin and other cosmetic camouflage treatment is, it does not rub off easily on clothing and stays longer on the skin. It is also water-proof & smudge-proof. Unlike other cosmetic applications, it allows the skin to breathe and suits almost everyone.

The vitiligo surgeon custom prepares this cream to match an individual patient’s skin color, with maximum precision. Microskin can be applied through a stipple or airbrush, as suggested by the doctor. Depending on skin types and a particular part of the body, Microskin stays on the skin for several days and a slight touch up can give an even longer lasting result. This liquidized skin-color corrector does not give any makeup effect but makes the affected skin look more natural.

Microskin is the best solution for the social pressure that vitiligo patients face every day. Be it a party or interview or any social gathering, Microskin helps in creating a normal-like first impression for them. Once applied, Microskin stays on the skin for several days and does not wash off. It’s a layer of cream that sticks to the skin allowing it to breathe and fade away gradually with time. This is what makes it different from normal foundation cream. Its easy self-application makes it preferable for daily wear or for such events as patients can apply the cream by themselves.

Dr. Munish Paul, Dermatologist & Vitiligo Surgeon, recommends Microskin due to its safe and easy application. The vitiligo surgeons/Dermatologists prepare the right shade matching the real skin tone for individual patients. Patients can bring home the application and apply by themselves on the depigmented area to cover the white patches. The application can be done through a spray or sponge rub. Microskin not only hides white patches but also helps patients to stand confidently in society with an even tone skin.

THE MYSTERY OF THE DISAPPEARING WHITE SPOTS

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A 27 years old young healthy male reported to the skin OPD with complaints of white patches over his arms and thighs since 8 months. On examination the spots were flat white spots & were numerous and distributed over the arms and legs most of them measuring less than a cm in diameter. the spots were quite subtle almost playing hide and seek looking prominent at sometime and then not so obvious at other times It didn’t fit in clinically with the most common skin issues of similar look ie fungus, allergy, sun sensitivity etc. Routine blood tests Complete blood counts , liver , kidney function tests, thyroid , blood sugars were within normal limits and gave no further insight whatsoever The patient had visited couple of doctors who just like us couldn’t really come to a final diagnosis and he was treated as a case of fungus, allergy white patches with no improvement at all; the case was turning to be most eluding yet teasing,it was like the spots were taunting us having a secret laugh at our ignorance. With nothing more to offer to the patient we admitted to the patient yes even though we are supposed to be specialists we had no clue as to what we were dealing with and we thought let us sleep over this and rake our brains at a later date

Skin Laser Centre
image 1

Thankfully the patient was patient and persistent, and he had more trust in our abilities to help him than what we had frankly and were all about to throw our hands in the air when we noticed that his arms appeared slightly red kinda flushed. So we had a new clue and we started to prod deeper into that and the patient revealed that the redness is very much there on and off but it doesn’t bother him like pain or itch so he choose not to discuss that We then started a cross reference transient redness, flushing we dug into our books and online research ( Dr Google ) threw up a picture akin to our patients condition and we had the diagnosis it was BIER spots, a rare entity but nevertheless reported and published.

So this is how it goes when the patient raises his hands as shown in image 1 they disappear and when the patient puts his arms down the blood gushes down, the flush increase and the white spots reappear magically shining like stars in a dark moonless night (image 2).

In the image 3 we can see both the arms the right is red and beefy and left pale as it had been just raised for a few seconds a moment ago which had emptied the veins ; the contrast is startling and was staring in our face  Like a kid who has been give a free access to a video game parlor we were grinning and asking the patient to raise one arm and then the other and get them down and so on, even he was mesmerized to see the changes in his body happening with a bit of help from gravity The white patches would crop up the moment his arms were hanging

Skin Laser Centre
image 2 & 3

down in the dependent position and disappear in a jiffy the moment he raised them and even though I’m considered a specialist in treating vitiligo ( White Patches ) I swear I have never seen any white patch getting cured at this speed. Medical literature dispels the mystery behind this phenomenon as abnormal Vascular response to venous hypertension and tissue hypoxia so if u see that’s what was happening But the thrill of making this rare diagnosis was a eureka moment for me and my colleague Dr Nupur, the sweet pleasure of arriving at a diagnosis was just divine . We literally patted each other on the back Good job and after a long slog in the OPD we raised a toast ( with tea In thermacol glasses) and exclaimed Elementary Dr Watson Elementary I know some of u must be wondering why I’m so excited to sit down and write a article about this simple condition but it’s something u really go to experience yourself , and in the end it’s the small pleasures that really count in this beautiful journey of life, for these are the drops that become the ocean, and is it not that the entire ocean is in the drop……

― Dr Paul

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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