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Usefulness of Micro-Punch Skin Grafting for Treatment of Resistant Vitiligo

Background: Vitiligo is a depigmented common skin disorder. The disease may lead to social and psychological distress to the patient. Therefore, a good treatment can improve the patient’s life quality. Punch grafting is a simple and commonly used method of treating vitiligo. However, it is time consuming with the risk of post-operative cobble stoning appearance. We used motorized 0.8 - 1.3 mm micro punch grafting procedure to overcome these limitations. Objective: to evaluate the therapeutic effectiveness of using micro punch grafting to treat vitiligo and adverse events associated with this method. Methods: this was a prospective study for 20 patients with stable vitiligo. They underwent motorized 0.8 - 1.3 mm micro punch grafting from June 2019 to June 2020. Vitiligo treatment with micro punch grafting technique had promising results, and careful assessment of factors associated with the outcome was done. Results: Thirty percent of the patients showed excellent re-pigmentation ≥ 75%. Forty percent of the patients showed moderate re-pigmentation. Twenty percent of the cases showed mild re-pigmentation and only 10% showed no improvement. So overall, the therapy was tolerable. Conclusion: micro punch grafting is an effective way to treat vitiligo; it is also considered a suitable option with tolerable adverse events.