Punch grafting

Multiple thin grafts of 1-3 mm diameter are harvested from the unaffected skin site by special punches and then grafted over the affected vitiligo area. Donor grafts are taken from thighs, buttocks or hips. For facial grafting the grafts are usually taken from behind the ear. Dressing is done. Grafts are taken up in 7-10 days after which phototherapy and topical medications are started. Re pigmentation occurs in 3 – 6 months and the vitiligo area gradually develop normal skin colour. The donor and recipient sites look their best after 6 months.

Complications can include scarring, cobble-stoning, infection, incomplete color and/or mismatched color, and hyperpigmentation