Vitiligo Treatments

Vitiligo is seen in approximately 1% of the population. Dr Milgraum of New Jersey is a national  expert on vitiligo treatment. Dr Milgraum appeared on the Geraldo Show in 1993 to discuss vitiligo treatment, after Michael Jackson publicly announced that the change in his skin color was due to vitiligo.


Dr Milgraum is a member of the National Vitiligo Foundation an organization seeking a vitiligo cure. See National Vitiligo Foundation.  Dr Milgraum was the first doctor in the world to use a laser seeking a vitiligo cure in the early 90s.


Vitiligo begins with flat  white spots or patches on the skin. Vitiligo vulgaris is the most common type and presents with a typical pattern of pigment loss around the eyes, elbows, kneed, hands and
groin. The cause of vitiligo is largely unknown but it appears that the melanocytes or pigment cells of the skin are weakened or destroyed leading to an absence of these cells and there tan to brown color. The
skin in these areas is susceptible to sun burn and must be protected with sunscreen when the vitiligo patient is outside.


Most physicians believe vitiligo is an autoimmune-related disorder where the body is attacking the pigment cells. However, the actual mechanism is still not clear though research is active in this area. In vitiligo the skin is otherwise normal with normal texture and only the skin’s color is affected. The extent of vitiligo is quite variable and while most affected individuals only have small areas, others can have full body involvement. Also, the individual course may vary where spots may remain stable for years and then suddenly expand or new patches may develop. The texture and other skin qualities remain normal.


Needling is a new therapy for vitiligo. After local anesthesia so the procedure is painless, the edge of the vitiligo areas are repeatedly stimulated with a fine point that stimulates pigment cells to move into the non coloured patch. We usually combine this therapy with narrowband UVB or excimer laser/light. Several months later pigment spread is noticed.


The course and severity of pigment loss differ with each person. In many cases, vitiligo begins in a small area. Over time, other spots may appear, while existing spots may grow larger. It is during these flares or during the summer months, when the vitiligo patches become more noticeable, that patients more commonly seek vitiligo treatment or a vitiligo cure.


Effective Vitiligo Treatments are available and we in NJ Can Help



Before and After Noncultured M-K plus Xtrac laser

Vitiligo is no longer difficult to treat. After a full medical evaluation including blood work to ensure there are no contributing diseases, we commence our NJ vitiligo treatment program. We recommend nutritional support to encourage new pigment formation. Topical ointments are prescribed to stimulate the melanocytes to re-grow.

A new treatment is called Noncultured M-K. We take your normal pigment cells from one area, grow them in a test tube and plant them in your white, vitiligo area. We can also transplant individual melanocytes. Afterwards we stimulate the pigment cells with a Photomedex XTRAC Excimer Laser. This narrow band ultraviolet or UVB laser remarkably brings the color back to the skin, with the above program, in the large majority of patients. It does this will avoiding sunburn. The Photomedex XTRAC Excimer Laser is also effective in treating psoriasis, alopecia areata, arthritis, some forms of dermatitis, white scars due to loss in pigmentation, light stretch marks with pigment loss. The laser can not be used in those sensitive to light such as lupus patients.

For more extensive involvement we have a light box that can deliver full body PUVA or narrow band UVB.
If you’re seeking vitiligo treatment, and in some cases a vitiligo cure, we may be able to help. Contact us to learn about vitiligo treatment options.

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