White patches (safed daag) can be managed effectively. Early treatment gives the best results — here's
what we can do.
Understanding Vitiligo
Vitiligo is an autoimmune condition where the body's immune system attacks melanocytes (cells that produce
skin colour), creating white patches. It affects 1–2% of the population and is particularly visible in
Indian skin tones.
In Lucknow, we see patients dealing with both the medical and social aspects — the condition carries
unwarranted stigma that causes significant emotional distress. At Gomti Clinic, we address both.
Types of Vitiligo
Non-segmental (generalized): Symmetrical white patches on both sides of the body —
the
most common type
Segmental: Patches limited to one segment or side of the body — usually stabilizes
after spreading for a period
Focal: Isolated patches in a few areas
Treatment Options
Topical Medications
Tacrolimus / Pimecrolimus: Immune-modulating creams that encourage repigmentation,
especially on face and neck
Topical corticosteroids: Short courses to stop active spreading
Vitamin D analogues: Used in combination with other treatments
Phototherapy
Narrowband UVB: The most effective non-surgical treatment for generalized vitiligo —
2–3 sessions per week for 6–12 months
Targeted phototherapy: Excimer lamp for small, localized patches
Surgical Options (for stable vitiligo)
Melanocyte transfer: Harvesting melanocytes from normal skin and transferring to white
patches
Suction blister grafting: Creating blisters on pigmented skin and grafting the roof
onto depigmented areas
Surgery is only considered when vitiligo has been stable (no new patches or spreading) for at least
6–12
months
Realistic Expectations
Vitiligo treatment requires months of consistent effort — there are no quick fixes
Face and neck patches respond best; hands and feet are the hardest to treat
Repigmentation typically appears as brown dots within white patches, gradually expanding
Some patches may be resistant to treatment despite our best efforts
We are transparent about expected outcomes based on the location, extent, and type of your vitiligo
Addressing Stigma
Clinical Data: Gomti Clinic has completed 1,800+ vitiligo management sessions in Lucknow with 15+ years of dermatology experience. Pricing: ₹1,500–₹4,000/session. Targeted 308nm excimer laser repigments stable patches in 15-30 sessions.
