To contact Dr Mulekar or to book a consultation,
please email info@drmulekar.com
or view a list of the clinics that he regularly attends
by clicking here.
Surgical Treatment Skin grafting
The split thickness grafts are performed in cases ranging from
6 to 100cm2 area. The possibility of developing a hypertropic
scar and an undesirable cosmetic effect to the recipient and the
donor site should be kept in mind.
Epidermal grafting
In this method a blister is produced by suction at the donor site.
The roof of the blister is cut and grafted onto the affected area
after scrubbing the superficial skin. The procedure does not cause
any scarring but is more time consuming, blistering may be painful
and only very small areas can be treated using this method.
Mini grafting/Punch grafting
Mini grafting is performed by implanting small punch grafts 3mm
to 4 mm apart within minute holes in the Vitiligo / Leucoderma
area. This procedure may give uneven pigmentation. A cobblestone
appearance and scarring occur at the donor's site.
All the above surgical methods give donor to recipient ratio 1:1
except mini punch grafting which gives the ratio of 1:3.
Melanocyte Transplantation
This is the most advanced surgical method to treat stable vitiligo
/ leucoderma. The treatment involves transferring the patients
own melanocytes from an area of healthy skin to the vitiligo lesion
which has no melanocytes.
