Intense Pulsed Light (IPL) is one of the top light-based therapy treatments that currently exist, and every day more people around the world find out about its benefits as they use it to remove their acne, broken capillaries, stretch marks, and much more. So just hang tight until the client arrives, armed with the confidence that you can take the appropriate next steps. It can kick start healing, relieve pain and inflammation, and restore function. While IPL remains highly recommended, there are some side effects most people are unaware of before they begin the treatment. But if a burn is the leading conclusion, continue the discussion by seeking pretreatment activity. The Palm Beach Center for Facial Plastic & Laser Surgery. Melanocytes are pigment cells that produce melanin. Rodney IJ, Park J, Hexsel D, et al. Next, the IPL device is gently placed on your skin. Common causes of hypopigmentation include: In this article, learn about the different types of hypopigmentation and why they occur. Usually their color loss is temporary, but for some it is permanent. Lightening creams Disorders of Hypopigmentation. He has certified hundreds of laser professionals throughout the country. It's too soon to determine if this is true hypopigmentation vs. an dramatic contrast between new skin as compared to surrounding, non-treated skin. If you have any condition that concerns you, please see a medical doctor. Significant skin pigmentation changes occur when patients suffer deep burn injuries. There is a risk of burning the skin, which can cause hypopigmentation leaving white spots on the skin. As for the PIH eventually the sun won't have such an extreme effect on your skin. We also use third-party cookies that help us analyze and understand how you use this website. Skin loses its color when the body cannot produce enough melanin. It can affect people from birth or develop later in life. The most common adverse effects after IPL treatment are: Mild discomfort might be felt by the patient during treatment and immediately afterwards.. Burninga painful perception during and immediately after the treatment.. Erythema, characterized by redness that usually appears a few minutes after the treatment, which may last for a variable period of time. Unlike a first degree burn, second degree burns must be treated much more aggressively. If your . The loss of pigmentation is probably a result of inflammation. Lasers that work this way are very good at removing dark spots, tattoos or hair; but in some cases they work too well. You can always treat more aggressively later. Should you issue a refund or pay for doctor's bills? Infection must be treated immediately with continued wound care and follow-up visits. What are the right laser systems for the job? Asked for Female, 33 Years Hypopigmentation from ipl burns on my chest and arms. Some people withvitiligo also get improvement with a drug called Psoralen combined with light therapy. Additional careful treatment can even that out, but it will eventually do so on its own. However, this may depend on the type of procedure that you desire to use the IPL for. The melanocytes of dark-skinned people produce more melanin than those of people with light skin. After the procedure, you can even apply makeup. You can set your web browser to refuse cookies. A person with hypopigmentation may have no color in their skin across their whole body, their skin is lighter than expected, or they have patchy areas of light and darker skin. You should apply sunscreen 30 minutes before you plan to venture outdoors. So now you know that hypopigmentation is a light spot in skin caused by low amounts of melanin. Using Aloe vera can also prove useful for irritation relief. If you have scars or albinism, theres no treatment available. If crusting of the skin is notated or well-defined reddish burn marks are identical to your laser's spot size, but no blisters are present, the thermal injury is likely limited to the epidermis and you have a first degree burn. With this understanding, you are armed with the fundamental methods by which to address burns. With the passage of time, the vast majority of burn cases resolve quite nicely free of further complication, pigmentation change, and the election by the client to resume the normal course of laser treatment. Hypopigmentation refers to patches of skin that are lighter than your overall skin tone. 3. Pale patches of skin can occur if a person has certain genetic features, if they experience some types of inflammation, if trauma occurs, such as a burn, and for other reasons. These treatments include laser hair removal, laser tattoo removal or laser skin resurfacing. Hypopigmentation is a lightening of your skin color. I cry everyday. Low-level laser (light) therapy (LLLT) is used to treat many skin conditions. Masterpiece Skin Restorationis your online resource for all things medical aesthetics, beauty, and wellness. Hypopigmentation is a condition in which the skin is lighter in color than normal. Ask for information on any changes in an at-home skin care regimen to the affected area perhaps she is using a new tretinoin anti-aging solution or a simple glycolic acid pad that is being used twice daily? Do you have professional training and certification? Plasma fibroblast skin tightening: the option without surgeries. See an error? Amy Takkenis a registered nurse with 20+ years of experience helping people improve their health. So, after your IPL treatment, your skin will feel much firmer and supple. If this is the case, the best advice is to have the client seek a consultation from a qualified physician most convenient to wherever the client is currently located. The skin is comprised of three main layers: The epidermis, the dermis, and the hypodermis or subcutaneous tissue. The next best step is to find a method that will blend the dark and light spots - as they're often a package deal. Your skin's pigmentation, or color, is based on the production of a substance called melanin. ","acceptedAnswer":{"@type":"Answer","text":"When your skin loses color it's called hypopigmentation. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. To make sure that you dont fall into the same traps as countless others, we will be discussing the potential impact of IPL on your skin, including whether it can give you burns, affect your skin texture, and much more. There arent any effective treatments for albinism or scars that have hypopigmentation. Is the ketogenic diet right for autoimmune conditions? IPL Skin Tightening: Benefits, Efficacy, and Side Effects, Asian skin tone: Their types and how to take care of them. hypopigmentation does not improve with medications or treatments. Drinking water will also help hydrate your skin from the inside out. If the client now in fact has a burn, the skin would have done just that following the treatment burn! Our mission is to create solutions that help women to achieve their highest potential, hair removal and skin issues, as well as to improve the skin rejuvenation and results. Intensive pulsed light therapy treats uneven pigmentation, redness, rosacea, large pores, facial vessels, laxity, and large pores caused by sun damage. However, you should still speak to your provider if you do notice any burn. A form of light therapy known as intense pulsed light (IPL) can be used to treat a number of skin conditions on your face. Yet, the procedure has not been fully rosy for everybody and it is not difficult to find reports of various people being unhappy about their treatment. Is the color loss permanent? If ice is the most convenient cooling method, place ice in a plastic bag and lay a 4x4 over the affected area. It is best to avoid harsh topical products such as retinol and glycolic acid after treatment for one week. If you have albinism or hypopigmentation from scars, its permanent. Fruits and vegetables that are watery will also help hydrate your skin. Following that, she will utilize the IPL device to treat the skin. In order to prepare the skin for treatment, your skin care specialist will clean it. There may be some redness, peeling, and swelling as a result of the treatment for mild sunburn. The Decision So how do you know that you have a burn? The light penetrates your skin without causing damage to the top layer. Most patients tolerate one session well, and it takes 30 to 90 minutes. The hypopigmentation is not getting better. Hypopigmentation is a low amount of melanin in your skin. This makes the procedure highly safe, while also resulting in little downtime. Having overseen tens upon tens of thousands of laser hair removal treatments, Logue is an expert in the safe and effective removal of unwanted hair through laser and IPL machines. It can occur anywhere on the body, but sun exposure can make it. Do you need to report this to a state or federal agency? Make sure to wait until your skin has fully healed before applying makeup on or near treated skin. However, if the fungus grows more than usual, the skin can change color in patches, usually on the: On darker skin, the patches are often light. The person may also have eyesight problems, as melanin plays a role in the development of the retina, a part of the eye that plays an essential role in vision. As we continue to research, Lumenessa strives to bring quality tips into your life.Lumenessa Inc.10606 Shoemaker Ave #A, Santa Fe Springs, 90670Mail :info@lumenessa.comTel (SAV) :+1 562-567-3030. do not be alarmed. You should avoid removing your skin's oils with hot showers or baths. For two days after treatment, avoid using aspirin, ibuprofen, consuming alcohol, and doing heavy exercise. See your healthcare provider if you have lichen sclerosus. Some occur with a short-term disease and resolve over time. 2023 Healthline Media UK Ltd, Brighton, UK. Studies suggest that phototherapy helps treat laser-induced hypopigmentation in skin of color. I have blisters all over my legs and I could not sleep all night long. Just basing on whatyou have posted, you seem to have the best skin suited for IPL treatments.Based on what you mentioned, I can only conclude that you possibly experienceda type of pigmentation called hypopigmentation. Your face can also be protected with an umbrella or hat. Skin pigmentation and IPL fluence are major determinants of side effects after IPL exposure, while a single exposure to three SED of UVR at 30 minutes or 24 hours after IPL, does not amplify such side effects. Asian skin tone: Their types and how to take care of them. You should remember, any guidance that your skin therapist provides is for your care and will aid in stopping any side effects. I emailed the physician who oversees the office and he too has never responded. After intense pulsed light treatment, hair loss can occur between five and 14 days later. Summary. Amy loves research and constantly watches for new products and treatments to help you improve your skins health because healthy skin is beautiful! Answer: IPL treatment results: hypopigmentation vs treated skin From those pictures, it looks like you have effectively treated skin in the pattern of the handpiece placement-- separated by untreated skin. Silicone sheeting can prevent hypopigmentation if used early in the healing process; . The melanin can clump, causing that area to appear darker. What about charting requirements and consent sheets? Hello,It's understandable that you are concerned, but we believe that your skin will improve with each passing day. Learn more, Paleness can occur in light or dark skin. Phototherapy is effective if you have hypopigmentation from laser treatments (laser-induced hypopigmentation). It may take a few weeks or months. Last reviewed by a Cleveland Clinic medical professional on 06/27/2022. If you have post inflammatory hypopigmentation from a skin injury or skin rejuvenation procedure, you may want to wait before seeking treatment. I cannot believe you did this to me. Vitiligo tends to become more widespread over time. Hughes KA, Usatine RP, Smith MA. In: Jameson J, Fauci AS, Kasper DL, et al., eds. And what happens if the client demands compensation? 7. Let us discuss the latter. Stay away from clothing that's too tight. If none of these work, some doctors will recommendskin grafting or blister grafting. If there is any doubt, please, please consult your physician. Bimatoprost is considered a very safe drug as well. During the next 48 hours, avoid using scented lotions, soaps, and creams on the treated area. If hypopigmentation is a symptom of a skin condition, certain medications can treat it. The size and shape of the patches can vary widely. Intense pulsed light (IPL) therapy, aka photofacial, is a way to improve the color and texture of your skin without surgery. Keep moving the ice pack every 15 to 30 seconds. IPL is used for overall pigmentation issues, but flat spots especially respond to this treatment. IPL is likely not the first solution that you have sought out for your skin issue and you may already be on some form of medication. Various conditions can result in hypopigmentation. However, you should follow important IPL before and after care instructions to ensure you get the best results from your IPL PhotoFacial. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. When the cause of the post postinflammatory hypopigmentation is removed, most people get spontaneous improvement within a period of weeks or months. The people most frequently affected have dark skin and have had multiple treatments. Naturally, these newer cells will be much firmer and richer in proteins such as elastin or collagen. The less clear examples are more common. Post ipl burn hypopigmentation. Taking care of your skin after IPL requires a lot of consideration. This website uses cookies to personalize ads & content. Learn more on ourScars and Stretch Markspage. Please, let us fix it! Following these guidelines will also ensure that you see the maximum benefits of any treatment. HomeBlogLight Spots & Hypopigmentation | 9 Ways to Fix Them. Two days before your treatment, do not use products with vitamin A, benzoyl peroxide, salicylic acid, hydroquinone, retinol, or glycolic acid. Learn more in our article, Tattoos can be used to cover light spots. There is no additional cost to you. And skin injuries (like infections, pimples, blisters, or scrapes), burns, or any kind of trauma can also cause hypopigmentation. Here are some of them. But there are other causes of color loss besides lasers. During microneedling, your healthcare provider uses a device that pokes your skin with thin needles. Gradually, over the next week to 2 weeks, the pigment gradually dissipates. This full-face treatment can dramatically improve fine lines, discoloration, and uneven skin texture. ","acceptedAnswer":{"@type":"Answer","text":"Hypopigmentation is a light spot in skin caused by low amounts of melanin. Hypopigmentation is a loss of skin color due to genetics, a health condition, such as vitiligo, or a skin trauma. Vitiligo is a long-term condition in which pale patches appear on the skin. In addition to improving damaged skin and acne scars on the neck, chest, arms, or back, IPL can also improve the appearance of wrinkles. The treatment was over 2 months ago and I still have large areas of hypopigmentation. This will help to improve the level of your appearance, giving you a more youthful and vibrant look. A doctor will examine any areas of skin changes, and they may recommend some tests. While Intense Pulsed Light (IPL) remains one of the top light-based therapy treatments available, there are still certain risks associated with the procedure. In any case, you should see huge gains after you complete your first full treatment and your skin should look much more uniform. Blisters. In some cases, this may result from an autoimmune condition, when the body mistakenly attacks and destroys healthy cells. Additional consideration must be given to those with diabetes, HIV, AIDS or whose trauma is experienced in susceptible areas of the body to easy infection such as bikini area treatments. It is not always possible to treat hypopigmentation, but some causes will need medical treatment. Putting a cold compress on the burning or itchy area can also alleviate the discomfort. Your skin, hair and eyes get their color from a chemical called melanin. You must also ask your provider about the potential health risks of using IPL to treat the issue that you are facing. From those pictures, it looks like you have effectively treated skin in the pattern of the handpiece placement-- separated by untreated skin. . Your healthcare provider may use a drug called psoralen combined with ultraviolet A (PUVA) or ultraviolet B (UVB). People with hypopigmentation may have a higher risk of: Tips that can benefit people with hypopigmentation include: Here are some questions people often ask about hypopigmentation. Dr. Fitzpatrick says that when bimatopost is used on scar tissue, this should not be a concern. Pityriasis alba usually occurs during childhood and adolescence. Robert E. Logue is a Texas state-approved instructor, as well as registered laser hair removal professional. Laser resurfacing is a facial rejuvenation procedure that uses a laser to improve the skin's appearance or treat minor facial flaws. Therefore, be sure to follow our IPL aftercare instructions above to maximize your results as quickly as possible! If a skin condition causes hypopigmentation, medications may help restore color to your skin. ","acceptedAnswer":{"@type":"Answer","text":"The people most frequently affected have dark skin and have had multiple skin treatments. Read more about hypopigmentation treatment. Hypopigmentation may improve or go away on its own. All rights reserved. While most IPL photo facials require very little to no recovery time, there are things you should (and should not) be doing as a result of this facial to maximize its benefits and minimize its negative effects. 5. Despite its versatility, IPL may not be as effective on uneven skin. You want to explore all the variables so that proper adjustments can be made for future appointments and, of course, to grow professionally and continue to refine your own skills set to provide the best balance of safety and efficacy in all of your treatments. We've compiled some tips from IPL and PhotoFacial specialists about how to manage your skin after IPL treatment. People with darker skin may also be more prone to hypopigmentation after an inflammatory reaction. When the cause of the post postinflammatory hypopigmentation is removed, most people get spontaneous improvement within a period of weeks or months. Like laser treatments, IPL treatments use light energy. {"@context":"https://schema.org","@type":"FAQPage","mainEntity":[{"@type":"Question","name":"Can lasers cause hypopigmentation / light spots? Patches of your skin are lighter in color than your surrounding skin. Keeping well-hydrated will also help keep swelling at a minimum. IPL is good for people with light, untanned skin with some elasticity. IPL,excimer lasers, and theFraxel Restorelaser are all recommended for treating hypopigmentationby the doctors on RealSelf.com. I decided that there may be a possibility that it would work to help treat hypopigmentation. Others, such as vitiligo, appear later in life. If the pain persists after half an hour, you need to apply an ice pack every 15 minutes for three hours. If your client is allergic to sulfanilamide (an ingredient in silver sulfadiazine), an excellent choice is a triple antibiotic ointment combined with a topical non-steroidal medication. It will become less noticeable with time. Puvasol, topical psoralen, and UV light from sunlight or UVA phototherapy may help especially in people whose color loss was from a laser treatment. This type of laser removes the thin outer layer of skin (epidermis) and heats the underlying skin (dermis), which stimulates the growth of collagen a protein that improves . As a registered nurse, my goal is to educate, so I provide information on skin care, skin care products, and skin care treatments. During this procedure, your doctor creates a blister on an part of your skin with normal color. It tends to become more widespread over time. Follow up your procedure with a gentle moisturizer. When a burn occurs, the practitioner must first determine the level of trauma experienced by the client. If hypopigmentation causes you stress, anxiety or depression, see your healthcare provider right away. Policy. You should moisturize as soon as you get out of the shower or bath. Low-level laser (light) therapy (LLLT) is used to treat many skin conditions. Here are some images to help identify the different types of hypopigmentation. The fungus that causes it lives on the skin of most people, but it does not usually cause symptoms and is not contagious. For the first few days following your IPL treatment, stay away from anything that might irritate your skin. They may also stimulate your skin cells to make more pigment. It is tough. IPL usually leaves the skin red, swollen, and sensitive. Another study published in Dermatologic Surgery in 2007. The client should discontinue swimming, baths, or activity that results in constant friction upon the affected area. Once the client is provided with the most appropriate information, it quickly becomes a "wait and see" exercise. Bolognia JL, Braverman IM. Chemical exposure. 2. The recovery from an IPL treatment depends on the patient and on the aggressiveness of the treatment. It happens when there is damage that affects the melanocytes, cells that produce melanin. Some of these genetic conditions include: Albinism. Alternatively, you can cover your arms and legs with clothes to protect them. . Collagen gives structure, strength and elasticity to your skin. Injuries to your skin are the most common cause of hypopigmentation, including: Burns. If you have darker skin tones or keloid scars, intense pulsed light therapy should not be used. She got them after a laser treatment. This results from your treatment working properly. Intense pulsed light may also destroy hair follicles so that hair will not grow over that area anymore. Have the client return to a treatment room and begin cooling the affected area by use of a Zimmer, cold compress, or cold running water if feasible. Prevention is key. As hyperpigmentation is caused by an excess production of melanin, those with dark tones are naturally at a higher risk. Treatment for hypopigmentation depends on the cause. Ideally, you will continue to cool the skin as long as the burning sensation is evident which could last several hours. People with vitiligo get hypopigmentation because their white blood cells attack and kill the cells which give their skin color. Such knowledge can be a key factor in stopping any side effects. If you block our cookies, some parts of this website may not function properly. For example, if the client reports that they did not feel any burning sensation following the treatment and at the following consultation you determine that the blisters the client had referred to are actually whelps with a pronounced itchy rash, you know you likely have a histamine reaction on your hands and not a thermal injury. On the other hand, if you would like to continue the medication while on IPL, they can also adjust the intensity of the light to accommodate for its effects, which should help reduce the possibility of any health risks. If you have post inflammatory hypopigmentation from a skin injury or skin rejuvenation procedure,you may want to wait before seeking treatment. Here are some IPL hair removal aftercare instructions. With IPL, light is converted into heat that penetrates deeper layers of the skin to break up pigmentation and blood cells that cause discoloration. A person with pityriasis alba will have raised, slightly inflamed patches on their skin that can lose pigment over time. A hot shower and a washcloth can help exfoliate the hair. The IPL Laser Side Effects - When do They Go Away? It is recommended to wash your face the evening before your treatment as long as you use a gentle cleanser and warm water. Hypopigmentation or depigmentation of the skin is very challenging to treat. Do you see: Your general observations will likely lead to fairly easy conclusions. Injuries or skin conditions are the primary cause of hypopigmentation. https://emedicine.medscape.com/article/1120837-overview#a5, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533534/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3401843/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4126803/, https://www.youtube.com/watch?v=z3RXbbwJuHY, Unfortunately, there was no study of the long term effects; but. The difference between IPL and a laser is that IPL focuses a multitude of wavelengths of light on your skin, similar to a photo flash. We keep you up to date on leading edge technology and the services available to help you restore your natural beauty. \n2. The skin may remain irritated for a few days afterward. It's called cosmetic tattooing, permanent makeup, or paramedical tattooing. When possible, use a moisturizing soap. Don't forget to reapply sunscreen every few hours. Your first step in IPL laser aftercare is to ice the treated area for at least 30 minutes. A study was done on 5 patients with long term hypopigmentation. Airbrush makeup is typically used to cover large or small areas with hypopigmentation or hyperpigmentation. vitiligo also get improvement with a drug called Psoralen combined with light therapy. I understand your concern, although this could take several months to correct I do not think this will be permanent. Check out the full list of benefits of IPL skin treatment here! I contacted the office several times to no avail and even went in to the office. Avoid activities that cause excessive perspiration. If during your examination you discern superficial blisters or notate a breach of the epidermal barrier from a popped blister or separated epidermal tissue, you most likely have a second degree burn. JUser: :_load: Unable to load user with ID: 31566, Traditional dictionary definitions of the word 'ethnic' refer to those who originate from non-western cultures., 310 E. I-30, Ste. We avoid using tertiary references. And skin injuries (like infections, pimples, blisters, or scrapes), burns, or any kind of trauma can also cause hypopigmentation. These may include: Home remedies are safe for most people. Do not drive yourself too crazy with excessive worry. You can't take a hot shower for 48 hours. Generally, your dark spots should begin to fade within two weeks of your first session, though this will depend on various factors, such as how deeply the pigment is located. Was I overburned? Sorry to tell you! This method uses needles to pierce the skin without removing tissue. It is worth considering a treatment that will blend all areas once you have completely healedmeaning, no longer pink skin in the areas of treatment. All the white spots had been filled in with healthy, new pigment of my natural skin tone. Micro-Needling works to reduce scars and hypopigmentation. The visitor's browser provides the cookie to the website each time the visitor returns. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. It is 8:30 a.m. and you just turned on the lights to your office when that proverbial phone call rolls in. So what is next? Once the site heals and at least three weeks of time as lapsed, you will likely be confronted with short-term pigmentation change that should be further addressed. Treatment depends on what caused hypopigmentation, but it may involve medications or therapies. IPL is non-invasive and non-ablative, which means that the light beams can target the lower layers of your skin without affecting the top layers. Swelling and redness usually go away within a few days. Lighter areas, or hypopigmentation, can be treated with UVB light or sun exposure. The therapist delivering your IPL must not only be well versed in using the technology but must also be able to understand the impact that the treatment will have on your skin. The First Step Your response will certainly depend upon the level of injury which means that you must see the client. 249 Views v. Answers (2) Like the answers? Dermablend makeup was created by a dermatologist and his makeup artist wife to solve the complexion problems that skincare could not. The melanocytes ( pigment cells) are located at the base of the epidermis and produce the protein melanin. Hypopigmentation can affect a small area of the skin, or it can be widespread. There aren't nearly so many for hypopigmentation.\n\n1. With the following IPL aftercare instructions, you can effectively help your skin heal between treatments so you get the best results. Lasers - Fractional CO2, Fraxel, Smoothbeam, Vbeam, IPL, Medlite C6 lasers for . Have a complaint? And by see, the client should return to your office so that you can see the injury in person! 4. Postinflammatory pigmentation is also called acquired melanosis. Blisters, burns, dermatitis, and fungal infections are all possible factors. Here is a list of activities to avoid after treatment: As soon as IPL Photofacial treatments are administered, their benefits become apparent in the days and weeks following the treatment. On pale skin, they may be pink, red, or pale brown. This is why we always recommend that you stay away from IPL if you have darker skin, as the chances of hyperpigmentation are extremely high. In addition, heightened consideration for workplace contamination must be considered, especially for warehouse or industrial professionals, as well as medical professionals in clinical settings. Indented scars fill and raised scars flatten. https://www.realself.com/Hypopigmentation/info, https://www.livestrong.com/article/109977-restore-pigment-white-spots-skin/, https://www.livestrong.com/article/287489-how-to-boost-melanin-production/, https://emedicine.medscape.com/article/1120837-overview#a5 Complications of Dermatologic Laser Surgery, https://practicaldermatology.com/2010/05/dermatology-qa-new-directions-in-the-treatment-of-hypopigmented-scars, https://www.mdedge.com/edermatologynews/article/18140/skin-color-postinflammatory-hypopigmentation-and-hypopigmented-scars, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533534/ Repigmentation of Hypopigmented Scars Using Combination of Fractionated Carbon Dioxide Laser with Topical Latanoprost Vs. Fractionated Carbon Dioxide Laser Alone, https://www.researchgate.net/publication/51218038_Postinflammatory_hypopigmentation, https://www.mayoclinic.org/diseases-conditions/vitiligo/diagnosis-treatment/treatment/txc-20319051, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3401843/ Efficacy of Suction Blister Epidermal Graft without Phototherapy for Locally Stable and Resistant Vitiligo, https://dermatologytimes.modernmedicine.com/dermatology-times/content/tags/dermatology/research-uncovers-new-innovative-treatments-conditions-pa, Correcting White Spots on the Face.
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