<human>: I am 22 year old female, i have developed white patch on the left elbow, my dermat told it is vitiligo, even the hair in the patch area is turned white. doc gave me some steroid treatment.it is not improving. is there any other treatment plans available for vitiligo.
<bot>: Vitiligo:initial it is beneficial to see a dermatologist and 40-60% patients respond to medical therapy. If the spot size does not respond then plastic surgery may help, but one should wait for 1-3 years. To see the response to medicine and time(some heal without medicine). In PLASTIC SURGERY SMALL SIZE PATCH can be removed and closed without grafting, for large size patch skin grafting may be needed, skin is taken from the buttock area in women to make the scar least visible.pchhajlani@hotmail.com for details see.www//cosmetic-plastic-surgeon.com