VITILIGO TREATMENT: MICROPIGMENTATION

 

WHAT IS MICROPIGMENTATION

Micropigmentation is a technology where colors are filled in superficial layers of skin. They are natural colours . Put into skin with help of a machine. The colours remain there for around 12 to 24 months.

HOW MICROPIGMENTATION DIFFERENT FROM TATTOO

Tattoo colours have metals in them. Colours used in micropigmentation are natural. Also the needle width is too large in tattoo as compared to ones used in micropigmentation. Micro pigmentation needles are very fine.

Micropigmentation looks very natural as compared to a tattoo result.

IS IT PAINFUL

It’s done after local anesthesia, thus is rendered comfortable for person.

HOW MANY SESSIONS ARE REQUIRED?

Two sessions done a month apart.

FOR HOW LONG DOES THE COLOUR STAY

After the initial two sessions colour stays for 12 to 24 months. Post that a person requires a single touch up once every two months.

ARE THERE ANY SIDE EFFECTS

The technology doesn’t have side effects. But almost similar colour match is important.

WHAT CAN MICROPIGMENTATION BE USED FOR

Micropigmentation can be used to cover vitiligo patches, scars, stretch marks, to give natural pink colour to dark lips.

HOW IS COLOR MATCHING DONE

It’s done by hit and trial. Various shades re mixed till one reaches the shade similar to person’s natural colour.

HOW MUCH TIME DOES IT TAKE

Time required depends upon the area to be covered. It can take somewhere between half an hour to three hours.

VITILIGO TREATMENT WITH MICROPIGMENTATION

WHAT ARE THE POST CARE INSTRUCTIONS

There might be little swelling and pain post procedure for few days. It goes off completely in few days.  A topical antibiotic and moisturizers are prescribed.

                    Micropigmentation Lips

CAN ANYBODY WITH VITILIGO GET IT DONE

No. In case vitiligo is active and still spreading. Then micropigmentation is not the answer. Micropigmentation is advised when vitiligo is stable i.e. no new patches have occurred since a year.

 

 

SUBSCRIBE YOUTUBE (ENGLISH): https://bit.ly/2C9NPd3

SUBSCRIBE YOUTUBE (HINDI): https://bit.ly/2DflwM1

VITILIGO  CAUSES AND TREATMENT

Right knowledge of vitiligo causes and treatment can allay the unnecessary fear . And also help one make right decision about the treatment.

WHAT IS VITILIGO

 Vitiligo is a disease where Skin suddenly devolves white patches. White patches can be of any shape and size. They can either be limited to one part of body or they may be widespread. Even the hair over the affected region looses color. Disease may b e static or may be progressive that is keep spreading to involve a very large area of body. It not communicable i.e. doesn’t spread by touch. It’s asymptomatic. But has profound effect on person psyche.  

WHAT CAUSES VITILIGO

 It’s an autoimmune disease i.e. person immune system starts attacking the colour producing skin cells called melanocytes. Stress acts as triggering factor. Genetic predisposition is increases the chance of vitiligo in children. There is just increase chances of getting vitiligo in children born to parents having vitilig . It’s not that they will get it.

WHAT IS THE TREATMENT FOR VITILIGO

AIM OF VITILIGO TREATMENT:

 

To stop the progression of the disease.

To get the skin colour back

To stop the progression of the disease

An oral course of steroids and immunosuppressant  are given.  Immusupressants can be azathioprine, cyclosporine etc. This prevents or suppresses the immune system from attacking black pigment of skin. Regular monitoring of blood count, liver function test, and kidney function test are done to keep a check on side effects.

Various modalities can be adopted to get the colour back

Phototherapy :  Photoptherapy is basically concentrating UV rays towards white patches on skin. This stimulates pigments producing cells to produce more pigment. Phototherapy can be done in multiple ways.

Oral PUVA:  A medicine is given for oral consumption. After two hours patient is advised to stand in sun for 5 minutes. It’s advised when disease is wide spread and its not possible for person to visit the clinic frequently.

Bath PUVA:   A medicine is poured into bath tub. Patient is advised to be in tub for 20 minutes, so that skin absorbs the medicine. After that person can stands in UV chamber. This is advised when disease is wide spread and its convenient for patient to visit clinic on thrice a week basis.

ORAL PUVA: Two hours after taking and oral medicine person stands in UV chamber.

UV CHAMBER FOR VITILIGO

Topical PUVA: A medicine is applied on white patches and then after half n hour exposed to sun for 10 minutes. This is advised when limited number of patches are there.

Hand held UV lamps are also available for use at home. They are practical only for smaller patches.

HAND HELD UV LAMPS

Excimer laser: It releases wavelength of 308 nm . Repeated sittings are required. It’s an expensive technology. But very effective for small patches. much more effective than UV chambers

EXCIMER LASER FOR VITILIGO

Oral medicine prescribed is 8 methoxypsoralen. It’s available in tablet and lotion form.

 

In case phototherapy fails to bring the colour back then alternate methods are chosen to get the colour.

Surgery: There are various surgical modalities:

Punch grafting: Mini circular punch shaped skin is taken out from non effected area (back of ears or thighs ). Mini punches are digged out at white patches. Then punches from non effected are are put into white patches. Colour from non effected are slowly spreads to white patches, finally the complete are gets colour.

PUNCH GRAFTING FOR VITILIGO

Split skin graft: A very thin section of Skin from non affected area is taken out . The white patches abraded . i.e. top most most layer is reoved with a machine creating a raw area. The thin section of skin is applied to the affected area. Dresing don for a week . Final result is colour t the whit patches. Practical only for small white patches.

SPLIT SKIN GRAFT

Non cultured autologous melanocyte transfer:  when a wide spread area are involved then above two surgical modalities are no feasabl. In NCMCT, a small are of non effected skin is taken out . It’s processed in lab to separate the melanocytes (colour producing skin cells).

MELONOCYTE CELL TRANSFER FOR       VITILIGO

Camouflage techniques:

Artificial colour is filled into white patches. It too can be achieved either ways;

Micro pigmentation: With the help of a machine colour is filled into the superficial skin layer. Colour matching the person’s original skin colour is chosen. With the help of a machine colour is filled into the superficial skin layer. Once done, a touch up may be required after a month’s time. Colour remains for around 2 years. Henceforth once a year touch up is required.

Camouflage make up:  Special make up is available which matches one’s skin tone .It cover up the white patches. Its water resistant i.e. doesn’t come out with sweat. It needs to be applied every day.

SUBSCRIBE YOUTUBE (ENGLISH): https://bit.ly/2C9NPd3

SUBSCRIBE  YOUTUBE (HINDI): https://bit.ly/2FhWSN5