About Punch Grafting
Key Highlights
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Minimally invasive surgical procedure for stable vitiligo.Targeted repigmentation of small to medium-sized patches.Uses the patient's own skin (autograft), eliminating rejection risk.Can be performed under local anesthesia in an outpatient setting.Often considered when medical therapies like phototherapy have failed.Generally has a high success rate for properly selected cases./ul
Who is this surgery for?
- Stable, segmental, or focal vitiligo that has not spread for at least 1-2 years.
- Small to moderately sized depigmented patches resistant to medical treatments (e.g., topical steroids, phototherapy).
- Lesions on cosmetically or functionally sensitive areas like lips, fingertips, or genitals.
- Patients with a strong desire for repigmentation and realistic expectations.
- Non-active vitiligo (no new lesions or enlargement of existing ones).
How to prepare
- Detailed consultation with a dermatologist to assess suitability and set realistic expectations.
- Evaluation to confirm the vitiligo is stable and non-active.
- Avoiding sun exposure and tanning of both donor and recipient sites prior to surgery.
- Discontinuation of blood-thinning medications (like aspirin) as advised by the doctor.
- Informing the doctor about all current medications and allergies.
- Showering with an antibacterial soap on the morning of the procedure may be recommended.
Risks & possible complications
- Infection at the donor or recipient site.
- Bleeding or hematoma formation.
- Graft failure or incomplete 'take' of the transplanted skin.
- Cobblestoning (uneven texture) or color mismatch at the recipient site.
- Scarring or keloid formation, particularly in prone individuals.
- Persistent pain, itching, or numbness.
- Recurrence of depigmentation around the graft edges (perigraft halo).
- Activation of vitiligo (Koebner phenomenon) at the donor site.
Recovery & hospital stay
- The donor and recipient sites are covered with sterile dressings.
- Keeping the grafted area completely immobile and dry for the first 5-7 days is crucial for graft survival.
- Oral antibiotics and pain relievers may be prescribed.
- Dressings are typically changed by the doctor after one week.
- Avoid strenuous activity, sweating, and direct pressure on the grafted area for 2-3 weeks.
- Gentle cleansing and application of prescribed ointments as directed after the initial healing phase.
- Sun protection with high-SPF sunscreen is essential once healed to protect the new pigment.
- Follow-up visits are necessary to monitor graft take and healing progress.
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Typical hospital stay: 0 days (outpatient procedure)
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Expected recovery time: 2-3 weeks for initial healing; full pigment development may take 3-6 months
Frequently Asked Questions
If you are considering punch grafting in India, these questions and answers can help you make a confident, informed decision.
Popular choices for punch grafting in India include Manipal Hospital Jaipur, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform punch grafting. MediFyr helps you compare dermatologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for punch grafting compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 8 Thousand – 25 Thousand | 0 days (outpatient procedure) | ~ 2-3 weeks for initial healing; full pigment development may take 3-6 months | Know More |
| Turkey | TRY 28 Thousand – 87.5 Thousand | 0 days (outpatient procedure) | ~ 2-3 weeks for initial healing; full pigment development may take 3-6 months | Know More |
Top hospitals for Punch Grafting in India
These partner hospitals in India have dedicated dermatology teams and experience managing patients undergoing punch grafting.
Ishaan Roy, a 28-year-old software engineer,...
Ishaan Roy, a 28-year-old software engineer, had been struggling with a patch of stable vitiligo on his chin since his late teens. The stark white patch, about the size of a coin, was impossible to hide with stubble and made him extremely self-conscious in meetings and social settings. He had tried topical steroids and phototherapy for over a year with minimal repigmentation. His dermatologist, Dr. Sharma, recommended punch grafting as a targeted surgical option to 'seed' pigment-producing cells into the depigmented area. Ishaan was anxious about the minor surgery but hopeful. The procedure, done under local anesthesia, was quick with a sensation of pressure. The first week of recovery was meticulous, keeping the graft sites clean and protected. Over the next three months, he watched in amazement as tiny islands of brown pigment spread from the graft sites, eventually merging to cover about 80% of the white patch. Emotionally, he moved from a place of constant awareness and deflection ('I just have a skin thing') to a newfound confidence. He no longer angles his face away in photos and feels the condition no longer defines him.
Dermatologists for Punch Grafting
Explore experienced dermatologists who regularly perform punch grafting and provide pre- and post-operative care in India.
- 32 Years Experience
- Dermatologist
- 30 Years Experience
- Dermatologist
Metro Hospital, Sector 11, Noida
- 30 Years Experience
- Dermatologist
Kamineni Hospital LB Nagar, Hyderabad
- 21 Years Experience
- Dermatologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Dermatologist
Metro Hospital, Sector 11, Noida
- 9 Years Experience
- Dermatologist
Metro Hospital, Sector 11, Noida
- 9 Years Experience
- Dermatologist
Metro Hospital, Sector 11, Noida
- 7 Years Experience
- Dermatologist
Kamineni Hospital LB Nagar, Hyderabad
- 7 Years Experience
- Dermatologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Dermatologist
Kamineni Hospital LB Nagar, Hyderabad
- 3 Years Experience
- Dermatologist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- Dermatologist
Manipal Hospital Mukundapur, Kolkata
- 7 Years Experience
- Dermatologist
Manipal Hospital Kanakapura Road, Bangalore
- 25 Years Experience
- Dermatologist
Manipal Hospital Salt Lake, Kolkata
- 5 Years Experience
- Dermatologist
Manipal Hospital Gurgaon, Gurgaon
- 8 Years Experience
- Dermatologist
Manipal Hospital Gurgaon, Gurgaon
- 40 Years Experience
- Dermatologist
Manipal Hospital Malleshwaram, Bangalore
- 25 Years Experience
- Dermatologist
Manipal Hospital Salt Lake, Kolkata
- 26 Years Experience
- Dermatologist
Manipal Hospital Doddaballapur, Bangalore
- 43 Years Experience
- Dermatologist
Manipal Hospital Salt Lake, Kolkata