Thanks for the query.
Vitiligo is an immune system mediated skin disease which can be brought into remission by certain medications and life style changes. Now its believed to be a multi system disorder that can have other auto immune comorbidities. A proper assessment to determine the presence and severity of these comorbidities is needed.If you have tried medical therapy and not achieved desired results, you can consider suction blister grafts/non cultured melanocytes suspension, a sort of surgery performed for Vitiligo. It requires expertise to perform and results take few months to be visible. There are other surgical methods as well, but this two are quite popular and effective.The prerequisite for surgery is stable disease for atleast a year, There is a role of genetics but it is unpredicatble.
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