Frequently Asked Questions (F.A.Q.) – Vitiligo
Do I need to treat my vitiligo?
Treatment for vitiligo is a personal choice. While it isn’t medically required, many patients choose to treat it to restore skin tone or stop its spread. Makeup is also a valid option for covering patches. There’s no harm in leaving vitiligo untreated if you’re comfortable.
What are my treatment options?
Treatment options vary based on the size and location of your patches. Options include:
• Topical steroids
• Oral prednisone
• Light or laser therapy (phototherapy)
Each has its own pros and cons, and your doctor can guide you on what’s right for you.
Is surgery an option to treat my vitiligo?
Surgery is usually a last resort when other methods haven’t worked. It includes:
• Skin grafts from unaffected areas
• Cell transplant procedures
Surgery isn’t suitable if your vitiligo is actively spreading or if you develop keloids easily.
How long does it take for treatments to work?
Most treatments take weeks to months to show results. Topical steroids may show changes in 3–4 months. Phototherapy may require 6 months or more. Combination therapy often improves outcomes.
What side effects should I watch for?
Possible side effects include:
• Topical steroids: skin thinning, stretch marks
• Light therapy: redness, irritation
• Prednisone: fatigue, insomnia, mood changes
Discuss any concerns with your doctor during treatment.
What else can I do to take care of my skin?
Vitiligo patches are more sun-sensitive. Protect your skin by:
• Wearing a wide-brimmed hat
• Using SPF 30+ sunscreen daily
• Staying in the shade
Also, monitor your skin for any changes and consult a dermatologist regularly.
Am I at risk of other health conditions?
Vitiligo is an autoimmune condition. About 15–25% of people with vitiligo also have another autoimmune issue. Also, emotional well-being can be affected, so mental health support is important. Inform your doctor of any new symptoms for further evaluation.
