Question: I have a pervasive case of Vitiligo which has bleached my neck and throat (also up and down my arms and legs.) To top it all off, I have hyperpigmentation on my face as well. Do you have any suggestions on what I should do? I use SPF40 daily on my face; spf 50 daily everywhere else. But this does not take care of the makeup.?
Answer: Vitiligo is a VERY difficult problem. One never knows what, exactly, will make it worse or better. That being said, if you want to de-pigment the facial areas which still have color, it is MUCH easier than re-pigment areas which are now lightened.
A series of Laser genesis treatments… intense with topical anesthesia, followed by high level Hydroquinone might work.
If you’re in the New York area, I’d like to evaluate your case.
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