A) Suction blister grafting
B) Split thickness skin grafting
Conventional thin split thickness skin grafting (STSG) technique is the most commonly practiced and the most successful amongst of all methods of vitiligo surgery. Split thickness skin graft (STSG) requires surgical skill, and training and Dr Rajat has been trained by his mentor Dr Kandhari at Safdarjung Hospital, New Delhi and also has co-authored the chapter with her on Split thickness grafting in the Association of Cutaneous Surgeons of India textbook, a bible of sorts for Indian Dermato-surgeons.
STSG is a relatively simple and cost- effective procedure can cover a large area in a single sitting. The procedure involves the following steps:
a) Preparation of the area from which the graft needs to be harvested – proper asepsis and administration of field block anesthesia (Local anesthesia)
b) Harvesting of the graft
c) Preparation of the recipient area with dermabrasion or a CO2 laser
d) Placement and immobilization of the graft – Proper immobilization is essential after grafting to ensure satisfactory results.
e) At home care
What to expect:
1) You would be required to sign a consent form prior to the surgery
2) There will be a dressing on the donor and the recipient site which would require changing in 3-5 days
3) Complications include perigraft halo, milia, beaded appearance and hyperpigmentation of grafted area – These would be discussed prior to the surgery