Punch Grafting is a simple and effective treatment for focal areas of vitiligo/White Patches. We perform Punch Grafting in Delhi as per the requirement.
Punch Grafting is a simple and effective treatment for focal areas of vitiligo. Vitiligo is a skin disorder in which it loses melanin that is responsible for determining the skin, hair and eye color. As a result, the melanin-producing cells die, thereby leading to the growth of white patches of irregular shapes on the skin. It usually starts with small areas of pigment loss and gradually spreads to larger skin area, with time. Such changes in skin often become a cause for worrying and stressing about appearance. Punch grafting is a therapy that addresses the worries and concerns arising due to vitiligo.
Miniature punch grafting is the simplest and the most reasonable treatment of all the grafting procedures for treating vitiligo. Also known as minigrafting, the process involves transferring of punches or circular pieces of skin tissue from the donor area to similar shaped pits which are made on the skin of the recipient. The size of the punches varies between 1 mm to 2 mm and they are spaced 5-10 mm apart on the recipient skin. In this process, PUVA might be required and then the skin colors are unified between the graft sites.
Although least expensive, this treatment has the highest degree of adverse consequences that includes appearance of polka dots, graft rejection, hypertrophic scarring, depigmentation of the grafts and cobblestone appearance.
Cobblestoning: It is the most common and the most stressful complication associated with punch grafting. There are certain ways by which the chances of cobblestoning can be prevented:
Depigmentation of grafts: This complication can happen after any kind of tissue grafting procedure. Ways by which the adversities can be controlled are as follows:
Perigraft halo: In this complication, the rim of depigmentation remains at the outer edge of the vitiligo cut when treated with cellular or tissue grafting. By following a proper surgical method, this complication can be avoided. The grafts can be first placed along the periphery and then at the centre of the cut which is to be treated. By placing the grafts about 1-2 mm apart inside the outer border of the recipient skin, perigraft halo can be prevented.
Other Complications: Some other complications such as hypertonic scarring, graft rejection and Koebner’s phenomenon can be treated by preventing both sub-clinical and clinical infection at the donor and recipient site. For this, patients must be selected properly before proceeding towards surgery.
Cost of Punch Grafting process: In India, the average cost of punch grafting would be around $1000. However, the cost of surgery also depends on the condition of the patient, areas that have been infected by vitiligo and other factors. There are different clinics where overall costs vary. At the same time, there are after-surgery treatments which might involve additional costs.
Before opting for punch grafting for treating vitiligo, it is very important to find the right doctor. The surgeon performing the process should be qualified and experienced enough and understand its methodologies. Before selecting the clinic or the doctor, it is best to have a prior consultation and know the outcomes and stay prepared accordingly.
1, NRI Complex, Mandakini,
Chittaranjan Park, South Delhi,
New Delhi - 110019