Vitiligo Treatment in Lucknow

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What is the condition of Vitiligo?

This long-term skin disease causes pale white patches on your neck, face, hands and skin creases. It happens due to the shortage of melanin, a pigment responsible for the skin color. In most cases exact reason can’t be found. Sometimes it may be due to auto-immune disorder.



How to know if surgery will help my vitiligo:

If Vitiligo Patches of skin affect either localized areas or densely packed patches in limited areas rather than diffusely over large areas then surgery may be offered by your surgeon.

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You should have stable patches of vitiligo for a minimum of 6 months to 1 year. Surgery should not be done in patients who have disease that is still active. In such cases surgery may actually flare up the disease and result in rapid increase around the operated area and new lesions may appear.

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If You have tried medical treatments and there is no improvement or it has stopped improving now. Most of the time surgery is offered as a last resort. First line of management is generally medical and involves multiple different approaches.

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If You want to overcome the emotional impact of those white spots on your personality. Certain exposed surfaces are a reason for social stigma. You may consult your surgeon if those areas could be operated. Surgery may not be able to cure the disease but cosmetic improvement does add confidence in social relations.

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You should have realistic expectations from the treatment, and are ready to accept few limitations associated with surgical procedures.

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What are some prominent Vitiligo treatments?
Treatments are mainly medical which are also the first line in approach against this challenging condition. Surgery is reserved and offered to those who have tried medical treatment for long enough. Surgery is also offered only if the disease is stable and no new patches have appeared nor have the existing ones increased in size for more than six months.

Opting for any treatment could lead to severe side effects hence doctors mostly suggest using self-tanning products to cover the patches.

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Some medicines used alone or in combination with light therapy can restore skin tone

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herapies like Phototherapy, combination of psoralen with light therapy (photochemotherapy) and depigmentation

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Skin grafting, blister grafting and Cellular suspension transplant are some of the widely used plastic surgery options to treat Vitiligo treatment

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Laser treatment can be suitable for smaller vitiligo areas, especially on the face.

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Camouflage techniques using makeup, permanent makeup, henna or mehandi, or tattoos.

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Frequently Asked Question

No drug can combat the effect of vitiligo standalone. Though doctors recommend combining several light therapies with medicines to make up for the loss of melanocytes (pigment cells).

No, surgery can’t cure the disease. Surgery only replaces the lighter skin with darker skin from some other part of your body through grafting. Unfortunately graft always leaves behind a patch effect.

Yes, laser methods can minimize the potential skin cancer risks appreciably. However, they are costlier and less accessible.

In this procedure, the surgeon extracts and uses the healthy patches of the pigmented skin to cover the white spots.

In this method, the doctor uses suction to create blisters on the pigmented skin. He then covers the discolored skin with the top of these blisters.

There is no permanent cure to vitiligo. The doctors however try their best to prevent depigmentation and restore the pigment on the skin. Perhaps, it is best to limit the sun exposure to avoid depigmentation.

Different vitiligo methods can work effectively in infusing positivity in the lives of the patients.



Myths about of Vitiligo
Unfortunately there are many many myths and misbeliefs about vitiligo and these add to the psychological pressure on the patient. We will try to address a few more common ones and deliver the balanced truth.
Vitiligo is a communicable disease

By far the biggest stigma attached to this disease is due to this misbelief. Vitiligo is not an infectious disease. You will not get vitiligo by being in contact with another one having this disease. It is due to either loss in number of pigment producing cells or their inability to produce enough pigment.

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Vitiligo may be caused by food choices

Next biggest misconception is about certain foods causing white patches to appear. Most common, though incorrect, is belief that having milk after fish could cause it. This and other misbeliefs about sour food, white food etc have no scientific basis and are totally incorrect.

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Vitiligo and leprosy are same

This is another deep rooted misconception and dates back to ancient scriptures. Unfortunately while in that era there was a lack of scientific research capable of separating these out. Today we know that while leprosy is caused by bacteria vitiligo is not. These are totally separate.

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Vitiligo is seen only in dark skinned people

White patches are more easily noticeable in dark colored skin that is the only reason behind this myth. Vitiligo develops in all races and ethnicities.

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Sun exposure cures vitiligo

Controlled exposure to sun or intense light along with certain medicines either eaten or applied has been used for treatment. Unfortunately people with vitiligo lack the protective mechanism provided by pigment producing cells and may end up burning their skin if exposed to the sun for long. Often sun exposure ends up tanning the area with normal color thereby creating the reverse effect.

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Sun exposure worsens vitiligo

Reading the last myth tells you why this misconception develops. Because after sun exposure the normal colored skin tans by producing more pigment while the white patches do not. So due to increase in contrast sometimes sun exposure may be implicated for worsening vitiligo. This is incorrect. Sun exposure control along with appropriate medicines may actually be helpful.

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Vitiligo can be cured 100%

This is unfortunately not true. This is one disease which we wish could be made to disappear but can’t. We can only limit the spread, or improve but total cure may not be possible. Even if these patches may improve and become near normal but they may reappear because the underlying disease may remain.

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Side effects after vitiligo surgery recovery and care
  • Partial or total loss of graft of skin or cells based on procedure may happen. While partial loss may heal up eventually, larger loss may require repeat procedure.
  • Donor site may take longer than usual three weeks for healing. Generally all that is needed is dressings and the area will heal.
  • Rarely the treated area or the donor site may get infected and may require antibiotics and dressings for some time to help in healing.
  • Graft will always leave behind “Patch Effect” and the area will have “boundary” and some mismatch of color would be noticeable.
  • Surgery only “hides” the treated area to improve cosmetic appearance; it does not cure the disease. New patches of white areas or increase in size of existing ones may continue.


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Dr. Sumit Malhotras's unique, integrated approach to plastic surgery employs only safe, effective, predictable surgical techniques that are driven by uncompromising respect for the natural condition of the human form.He understands that the body changes with time – as do desires.

His integrated approach includes


  • Individualized treatment plan matched to the anatomy, lifestyle, age of an individual.
  • Goal of a natural, balanced outcome with a pleasing appearance.
  • Safe, predictable options clearly understood by the patient.
  • Active patient participation in their education & choices.
  • Safe, world class environment & technologies.
  • Excellent…uncompromising service.Enjoyable experience & outcomes for each patient.
  • Enjoyable experience & outcomes for each patient.

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Educational Qualification

M.Ch. Gold Medalist

Residency
King George Medical University, Lucknow
1997-2000, 2002-2006.
Safdarjung hospital, Plastic surgery and Burn Unit
2000-2002
All India Institute of Med Sciences, New Delhi
1996-1997.
Master of Surgery, Plastic Surgery 2002
Masters of Surgery 2000
Bachelor of Medicine and Bachelor of Surgery 1994

 

Professional Experience

SIPS, Superspeciality Hospital, Lucknow
Since 2005 to date.

Assoc. Prof., ERA's Medical College, Lko
Smile train surgeon (2000+ CLEFT success)
Micro vascular surgeon (revascularized 150+ limbs)
Ex Sr. Resident, Safdarjung hospital, New Delhi
Ex Resident doctor AIIMS
Ex Chief Resident Dept of plastic surgery, KGMC, Lko
Surgeon served as a lead consultant; Cancer
Reconstructive Surgery
Trauma Consultant for the hospital
Burn Specialist Consultant

 

Professional Affiliations

  • Association of Plastic Surgeons of India, Life Member.
  • Lucknow Plastic Surgery Club, Member.
  • Association of Surgeons of India, Life Member.
  • Indian Medical Association, Life Member.
 
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