We Offer The Best Cost & Offers The Best Vitiligo Treatment In Delhi/Vitiligo Surgery In Delhi
Table of contents
- 1 We Offer The Best Cost & Offers The Best Vitiligo Treatment In Delhi/Vitiligo Surgery In Delhi
- 2 Best Procedure with Lowest Package available to treat Vitiligo*
- 2.1 What causes vitiligo?
- 2.2 Vitiligo: An unobjectionable Cause of Depletion of Skin Pigment
- 2.3 Quick facts about Vitiligo
- 2.4 What are the Signs and symptoms of vitiligo?
- 2.5 Clinical variants
- 2.6 Who is affected by vitiligo?
- 2.7 Diagnosis of Vitiligo
- 2.8 Treatment of Vitiligo
- 2.9 Nonsurgical treatments
- 2.10 Surgical Treatments for Vitiligo
- 2.11 Preferred Approach Considerations for treatment of vitiligo
- 2.12 Types of vitiligo
- 2.13 Segmental vitiligo
- 2.14 Non-segmental vitiligo
- 2.15 Potential future treatments
- 2.16 Home remedies and Lifestyle Tips to manage vitiligo
Care Well Medical Center offers the best cost for Vitiligo Treatment in Delhi or Vitiligo Surgery in Delhi, India and in fact offers the latest treatment with best and proven results. Vitiligo treatment is performed by an experienced Cosmetic Surgeon Dr. Sandeep Bhasin.
People who suffer from Vitiligo no longer have to worry because at Care Well Medical Centre we perform various combination of procedures to treat vitiligo*. Vitiligo is a skin condition which usually spreads on to our hands, face and torso & before we talk about Vitiligo Treatment we should know about, what exactly Vitiligo is.
Melanocyte Transplant Surgery is the most advanced treatment available in India to treat Stable Vitiligo*. Results can be seen in just 2-3 months*. Completely natural treatment. Treatment also available for Unstable Vitiligo.
Best Procedure with Lowest Package available to treat Vitiligo*
What is Vitiligo?
Vitiligo is a skin disorder that causes the skin to lose its natural color and develop patches onpale skin. Some people develop a few patches while others experience extended patches and thus lose much more skin color. It usually starts from elbow, arms to neck and face but it can reach to other parts of your body. Under Vitiligo, a section of hair can also turn white. Some people have been reported to lose color inside their mouths. In rare cases, even an eye can lose a bit of its color.
However, what is the real cause of this color loss is still a question mark. We do know that vitiligo is not transferrable and infectious, nor it is life-threatening. But vitiligo can be life-changing. It is although “more than a cosmetic issue,” meaning that it is a health problem that needs medical attention as sooner as it comes into notice. A number of therapies and remedies exists that can help minimize the visibility of the condition.
What causes vitiligo?
The cause of vitiligo is still unearthed. These type of skin diseases generally happen when your immune system fallaciously attacks certain part of your own body. It is likely that one or a few genes may make an individual obtain this disorder. However, some medical researchers believe that the melanocytes destroy themselves. While some others conceive that a single event like a sunburn or anxiety or chronic depression can cause vitiligo. But these circumstances have not been clinically proven to cause vitiligo.
Vitiligo: An unobjectionable Cause of Depletion of Skin Pigment
Melanin is a pigment that provides the skin its characteristic or inbred color. As already mentioned, Vitiligo is induced by a depletion of pigment in the skin, because of the destruction of pigment-producing cells called as melanocytes. Though vitiligo acts upon all races equally, it is more observant in dark-skinned people. Vitiligo can also cause cosmetic issues.
Quick facts about Vitiligo
Firstly, here we would want to make clear that there is no problem in life, whether physical or mental that cannot be tackled or fight off if you have a right approach and an appropriate information for your issue as well the disease. We have compiled a list of facts about vitiligo that may be helpful for you in diagnosing, analyzing and handling the issue in most effective way.
- Vitiligo is a skin disorder in which the skin’s pigment cells, melanocytes, are destroyed in certain areas.
- Signs and symptoms of vitiligo involves loss of skin color in the form of depigmented, or white, patches of skin at any site of the body.
- The exact cause of vitiligo is still undiscovered, yet most medical professionals are of the opinion that it is an autoimmune disorder in which your own body’s immune system fallaciously attacks and destroys certain cells within the body.
- Vitiligo can be central and circumscribed to one location, or it may affect different areas on the body.
- Most people who have vitiligo will crop up the condition before the age of 40 years; about partially being developed prior to age 20.
- Vitiligo may have an inheritance constituent, as the condition be disposed to flow in families.
- Vitiligo is at times linked with other medical conditions, including thyroid dysfunction.
- Vitiligo does not trouble with acute pain and does not even have serious health complications; although, it can have psychological and sentimental repercussions.
- Presently there are certain medical treatments that not only reduce the severity of the condition, but are also helpful in the cure.
- There is no clinical or usual way to identify if vitiligo will spread or remain restrained to one location.
- The prevention of vitiligo is not known
- There are no proven home remedies to cure vitiligo, however people are reported to have reduced the severity of the condition and some have even gotten rid of it too
- The use of sunscreens and makeup concealers to conceal the light areas of patchy skin may enhance appearance.
What are the Signs and symptoms of vitiligo?
Vitiligo contusions are signalized as follows:
- White patches in oval, round, or linear in shape
- Depigmented macules
- Generally well delineate
- Borders may be curved outwards
- Patch size may vary from millimeters to centimeters
- Expand divergently over time at an unforeseeable rate
The contusions in the beginning take place most often on the forearms, feet, hands and face, favoring a periocular and perioral and scattering.
Some Excellent Results (Before & After)
- Marginal inflammatory vitiligo
- Quadrichrome vitiligo
- Trichrome vitiligo
- Koebner phenomenon: Occurrence and advancement of vitiligo at areas of particular trauma, such as a burn, incision, lesion or abrasion.
Who is affected by vitiligo?
Vitiligo in some people is observed in their twenties, but it can happen to anyone at any age, irrespective of gender, race or nationality. Although it is more eye-catching in people with dark skin, but not biased on grounds of sex, age or racism.
People with some autoimmune diseases (like psoriasis, hypothyroidism, Type1 diabetes) are more prone to have vitiligo than people who do not suffer from any kind of autoimmune diseases. However, there is no direct connection of vitiligo with these diseases and also there are people with vitiligo who have no other autoimmune disease.
Vitiligo may also flow into families. Children whose parents have vitiligo are more likely to develop vitiligo. But it is not conclusively “set in concrete” that such children are bound to have vitiligo. There are many children who do not receive this disorder despite of their parent or both parents being affected.
The clinician will incorporate a medical or family history, physical assessment, and tests to diagnose vitiligo. The doctor may even enquire about things such as:
Do you have a family member/members with vitiligo? As because genes are believed to induce certain skin or hair disorders including Vitiligo.
- Did you have any sort of stress, depression or incessant physical problem?Stress hormones like epinephrine or cortisol are released in the body when circumstances appear to instigate a fight or shuttle up reciprocation in and thus disturb your equilibrium as well as your hormone regulating system i.e. endocrine system.
- Did you have a severe sunburn, sun sensitive skin or rash or other skin related issue prior to appearance of white patches? Sunburn or previous skin lesions or wounds may sometimes become a causation of a type of vitiligo due to damage in skin cells
- Has your hair turned gray before 35 years? Getting gray hair in the process of aging is totally justified but having gray locks in young age or in teens is a signal of DNA damage and formation of hydrogen peroxide in the follicles as likely causes of this break off in melanin formation. Loss of melanin causes the new hair to appear white, gray or silver due to no pigment thus affecting the skin cells too.
Diagnosis of Vitiligo
The doctor will do a physical examination to set side other unaffecting medical problems.
Tests might include:
- Blood tests
- An eye exam.
- Skin biopsy where a small portion of skin is withdrawn for sample testing
However, the diagnosis of vitiligo is performed on the basis of biopsy and clinical findingswhich is periodically required for distinguishing vitiligo from other depigmenting or hypopigmenting disorders.
Microscopic assessment of concerned skin characterizes a complete lacking of melanocytes in association with a complete loss of epidermal pigmentation. Superficial perifollicular and perivascular lymphocytic penetrates may be noticed at the edge of vitiliginous contusions, persistent with a cell-mediated process damaging melanocytes.
Other chronicle histologic findings include the following:
- Degenerative alterations in the melanocytes and keratinocytes in the border contusions and encircling skin
- Epidermal vacuolization
- Increased numbers of Langerhans cells
- Thickening of the basement membrane
Loss of pigment and melanocytes in the epidermis is critically analysed by immunohistochemistry testing and Fontana-Masson staining.
Treatment of Vitiligo
People having vitiligo need not to panic as there are handful of therapies, both surgical and non-surgical in the clinical cosmos, that can help you be free from vitiligo or at least minimize the appearance. All you need is to keep the positive attitude alive and rest assured that these medical procedures will definitely help.
We perform skin grafts surgery taken from healthy donor skin to cover the patches with high success rate at our Delhi Clinic.
We use the following techniques to help our patients:
Melanocyte Treanplsnt: Melanocyte transplantation is an innovative new treatment to stabiles vitiligo/leukoderma and loss of pigmentation. Without Melanocytes we would not be able to produce skin cells i.e. melanin and with this innovative treatment, it is now possible to transfer melanocytes from a healthy donor area of skin and surgically implant them as cellular suspension onto the de-pigmented patches of skin. Read more
Laser therapy: Works Effectively on restricted and consistent patches of vitiligo
Phototherapy: Prompts adequate re-pigmentation in the larger number of patients with localized or early disease
- Phototherapy with UVA light- UVA light treatment is generally performed in a health care setting. Firstly, a drug is given to the patient that increases the sensitivity of the skin to UV light. Then, in a sequence of treatments, the concerned skin is exposed to high doses of UVA light.Progress will be apparent within 6 to 12 months of twice-weekly sessions.
- Phototherapy with Ultraviolet (UVB light)- Exposure to UVB light lamps is an admissible and most commonly used treatment option for vitiligo. If the white patchy spots appear throughout the large areas of the body, UVB phototherapy may be used. It involves full-body treatment. It is usually conducted in a doctor’s clinic or hospital.UVB phototherapy, in combination with other treatments, can have a favorable impact on improvement in vitiligo. However, foreseeing a particular result of re-pigmentation of skin is not possible, as there are variable outcomes. If the treatment is given in a hospital, this will require 2 to 3 visits a week and the treatment time will be a little stretched. Home treatment needs a small lamp and permits for daily use, which is more effectual.
- Topical corticosteroids and topical calcineurin blockers can be used both in combination or individually. Corticosteroid lotions are ointments constituting of steroids. Some medical studies have stipulated that applying topical corticosteroids on the white patches can put a halt on spread. Others concluded to have completedrestoration of the original skin color. Always remember that Corticosteroids should never be applied on the face.If there is any improvement after a month, the treatment should be stopped for several weeks before beginning again. But If there is no improvement even after a month, or if side effects arise, treatment should be immediately terminated then after.Depigmentation therapy: If vitiligo is widespread at different sites or is expansive and efforts at repigmentation have not rendered favorable results, depigmentation may be conducted cautiously in very selected patients.The process of depigmenting involves removing the remaining skin color in order to make it blend with the discolored skin area. This therapy could be opted as a substitute if the vitiligo is extensive and other treatments have not given effective results. A depigmenting agent or a strong topical lotions, such as mequinol, hydroquinone or monobenzone is applied over unaffected areas of skin. This steadily lightens the unaffected skin so as it mixes with the discolored areas. The therapy is performed once or twice a day for 9 months or more and can take up to 12 to 14 months, based on factors such as the deepness of the original skin tone.
When the affected area has taken a view of epidemic(far-extending), covering HALF of the body or more, depigmentation can be considered. It allows the skin color in unaffected parts to fade off and match the whiter areas.
Complications associated with depigmentation therapy for vitiligo includes swelling, itching, redness, and dry skin. Depigmentation is everlasting, and you will forever be highly sensitive to exposure to sun. Refrain from long exposure in the sun.
Micropigmentation: Tattooing is one of the non-surgical methods that can be used to re-pigment depigmented skin in dark-skinned people. It can also add fashion quotient to your personality while giving you a safe treatment.
- Calcipotriene (Dovonex): Calcipotriene is a kind of Vitamin-D used as a topical cream. It may also be combined with corticosteroids or light treatment. Various Side effects that can come about are itchy dry skin, rashes or redness.
- Combining photochemotherapy and psoralen: This treatment combines a plant-extracted compound called psoralen with photochemotherapy (a light therapy) to rebound color to the light patches. After you consume psoralen by mouth or apply it topically to the affected skin area, you are brought into light of UVA, UVB or excimer light. These approaches gravitate to have better outcomes than just light therapy or just topical and oral medication. You may be required to repeat treatments up to 3 times a week for about six to twelve months:
- Skin camouflage: In mild vitiligo cases, the patient can have the option to mask some of the white patches with colored, cosmetic lotions and concealers. Doctors choose color tones that most adequately matches a patient’s their skin characteristic.If camouflaging creams and makeup are appropriately applied, they can easily remain for about 15 to 18 hours on the face and up to 4 days on the rest of the body. Topical applications are mostly waterproof.
Surgical Treatments for Vitiligo
Surgery is for those who are unable to get positive results from non-invasive therapies. However, Surgery can also be combined with those therapies. The objective of the following procedures is to even out the skin tone by restoring color.
- Skin grafting: In this technique, your doctor derive very little potions of the normal, pigmented skin and joins them to the areas that have lost pigment. This procedure is usually undertaken when there are not very large patches of vitiligo.Possible complication linked with skin grafting include scarring, skin infection, a concreted appearance, spotty color and unsuccessful area to recolor.
- Blister grafting: In this technique, the doctor forms blisters on your pigmented skin, generally with suction. The doctor then takes off the head of the blisters and implant them to an area of discolored skin.Possible side effects may include infectious skin, scarring, concreted appearance and failure of recolor on the discolored skin. And the skin deterioration induced by suctioning may prompt another patch of vitiligo.
- Tattooing (micropigmentation): In this procedure, the doctor employs a special surgical tool to transplant pigment into your skin. It works most effectively, therefore surrounding the skin of lips in individuals with darker complexions.Possible risks may include difficulty in tattooing and complexity matching the skin color and to trigger another patch of vitiligo.
The basic kinds of repigmentation surgery include the following
- Thin dermoepidermal grafts
- Suction epidermal grafting
- Punch minigrafting
- cultured melanocyte suspensions
- Cultured epidermis with melanocytes
- Noncultured epidermal suspensions
Preferred Approach Considerations for treatment of vitiligo
There are several kinds of medications, therapies and surgical processes involved in the treatment of vitiligo. Most common and in preference by both the patients and doctors being non-surgical therapies are the ones that are usually performed and delivers positive results. These include therapy such as Melanocyte Transplant, Laser Therapy, Phototherapy and Depigmentation etc. Be that as it may, it is still crucial to keep in mind that in patients with lighter skin, there is no necessity of intervention. Alternately, following a proper skin care regime against sun protection may be an ideal strategy for the purpose of protecting the adjacent normal skin from becoming more tan and making the contusions more noticeable. When therapy becomes needful, narrow-band ultraviolet (UV)–B phototherapy, topical steroids, topical calcineurin inhibitors are extensively conducted and are now regarded as the backbone of the treatment. Nevertheless, treatment for vitiligo or any skin disease or say be any disease must be discriminated on basis of individual condition and concerns and that patients should always be well informed in advance about the risks or complications with therapy. There is no single therapy for vitiligo which renders predictably positive outcomes in all patients, and the response to therapy is greatly capricious.
Few types of vitiligo or contusions in some specific sites may be more or less receptive to treatment.
During therapy, pigment cells surface up and escalate from the pilosebaceous unit, relieve epidermal melanocytes,and the outline of lesions or contusions, and migrate up to 2-4 mm from the edge.
Types of vitiligo
There are 2 types of vitiligo that are:
Segmental kind of vitiligo becomes extensive and scatters over more quickly. It is recognized as more uniform and consistent and less irregular than the non-segmental type. This kind of vitiligo is non-symetrical but is not very prevalent and is found in merely about 10 percent of people with vitiligo. This generally affects areas of skin linked to nerves arising in the dorsal roots of the spine. It responds quite positively to topical treatments.
People of early age groups are likely to be more affected by segmental type, affecting about 30 % of children diagnosed with vitiligo.
Non-segmental type of vitiligo is the most common form, contributing for up to 90 % of cases. There are frequent occurrences of equivalent patches on both sides of the body, with some amount of symmetry. Segmental vitiligo and an age of inception younger than 14 years have been connected to more refractory disease.Most commonly they make appearance on skin that is usually left uncovered to the sun, such as the face, neck, and arms or hands.
Most Common areas likely to have non-segmental vitiligo include:
- backs of the hands
- rectal area
Apart from above mentioned areas, patches can also appear at various other sites which include:-
Non-segmental vitiligo is further fragmented into sub-divisions:
- Generalized: There is no particular part or size of patches. This is actually the most prevalent type of non-segmental that affects the larger part of people with vitiligo
- Universal: Depigmentation covers larger part of the body. This is not very common.
- Acrofacial: This category takes place commonly on the toes or fingers.
- Focal: One, or a few, distributed white patches occur in an unattached area. It is most common in young children.
- Mucosal: This occurs most often around the lips and mucous membranes.
Potential future treatments
There is no “arrière-pensée” in the fact that alike science, medical science is advancing at a great pace. And it would not be a surprise if in near future we see the most effective medical practices that can completely cure vitiligo and other skin disorders.
Treatments being studied include:
- A drug that reverses color loss in skin: An oral drug called Tofacitinib Citrate, mainly used to treat rheumatoid arthritis, has presented some potential as a treatment for vitiligo. It blocks an enzyme called Janus kinase that seems to be suspicious in the cytology of vitiligo.
- A drug that recovers color loss in skin:Called as Pseudocatalase,this new compound seems to provide an effective cure for the loss of skin color associated with vitiligo. Medical researchers made an announcement in 2013 on findings of this drug in which some participantswere treated with a modified pseudocatalase (PC-KUS). PC-KUS was found to recover the pigmentation in their skin and eyelashes. Not only this, but the substance delivered surprising results in restoring the natural hair color among people with gray hair.
- A drug to provoke color-producing cells (melanocytes): Known as afamelanotide, a synthetic compound that mimics alpha-MSH, this potential treatment is embedded beneath the skin to stimulate the growth of melanocytes. In some cases of vitiligo, low melanin levels might be due to lower levels of α-melanocyte-stimulating hormone (alpha-MSH). Afamelanotide In combination with UVB treatment is also perceived to be effective.
- A drug that helps control melanoctyes: Called as Prostaglandin E2, the drug is being tested as a means to restore skin color in people with localized vitiligo that is not spreading. It is applied on the skin in form of a gel.
Medical experts areexploring and testing potential new treatments, interventions and tests as a way to detect, prevent and treat this disease.
Home remedies and Lifestyle Tips to manage vitiligo
The following self-care strategies may help to cope up with vitiligo by reducing its appearance and also improving your skin:
- Protect your skin from direct sun and artificial sources of UV light: If you have vitiligo, especially when you have light skin too, use a broad-spectrum, water-resistant sunscreen with a minimum of SPF30. Apply sunscreen more often if you are travelling, sweating or swimming.
- Stay away from sunbath: Strictly avoid sunlamps, halogen bulbs or tanning beds as it causes worsening of skin condition. You can however relax in dorms or shelters and wear clothes that can protect against sun
- Refrain from tattoo making: Avoid tattooing like that caused by a tattoo, may promote a new patch to appear after about 2 weeks. This is called Koebner phenomenon.
- Cover depigmented skin: Concealing and certain makeup products may enhance the appearance of the skin and help reducing its appearance, particularly if your vitiligo patches are on uncovered skin area. There are various makeup brands and self-tanners available in the market, you need to find the one that blends the best with your normal skin tone.You must use water-proof products, self-tanner or dye as these tend to last longer than makeup. If you seek to cover up white spots, Dyes work the best. The coloring of self-tanning products does not washout, but it slowly fades over a couple of days. In case you use a self-tanner, choose the one that contains dihydroxyacetone, as it is approved by FDA.
Most people can have natural-looking results with these products.
There are a few people who inculcate low dignity and lose pride in oneself, but trust us this should be strictly aborted. If you are refraining yourself to hang out with people, it must no longer be carried on. Some people can also develop serious depression. People may get vitiligo for life, so it is crucial to create coping tactics. A coping tactic that is known to help a lot of people is to simply obtain fruitful information about vitiligo. Another worthwhile approach is to keep in touch with people who have vitiligo