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.

More questions and answers about subjects such as acne treatments, botox, cellulite and may more other conditions & concerns can be found at Dr. Berger’s section.