If the above therapies are not effective, then surgery can be chosen. The surgical procedures include:
- Skin grafting is the surgical removal of the tiny portions of the normal skin which is attached to the affected skin. This is often chosen when there are small patches of vitiligo.
- Blister grafting involves the creation of blisters by suction which is transplanted into the affected area.
- Tattooing or micro pigmentation technique involves the use of a special device to insert pigment in the skin. This method is effective if depigmentation has occurred around the lips for people with dark skin tone.
Patches may reappear even after the treatment at times.