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Vitiligo Surgeries (Surgical Management of Stable Vitiligo) What’s the Procedure: Vitiligo surgeries are minor skin transplant techniques used in stable vitiligo cases that are unresponsive to medical therapy. These help restore pigmentation by transferring healthy melanocytes to depigmented areas. Mechanism: Different methods like Suction Blister Grafting, Punch Grafting, Split-Thickness Grafting, or Non-Cultured Melanocyte Suspension are used to transplant pigment-producing cells into the vitiligo patch. Indications: Stable vitiligo (no progression for 1 year) Localized patches resistant to medical treatment Lip, fingertip, eyelid involvement Focal, segmental vitiligo types Anaesthesia Required or Not: Yes, local anesthesia is used at both donor and recipient sites. Painful or Not: Minimal discomfort post-surgery; manageable with analgesics. What to Expect from the Treatment: Pigmentation begins in 3–4 weeks Multiple sessions may be needed Some scabbing and healing at donor and recipient sites Often followed by phototherapy for better results Who Can Do: Only those with stable vitiligo confirmed by a dermatologist. Not for rapidly spreading or active vitiligo. When It Can Be Done: Preferably during winter months. Avoid in summer or during infection.