Learn about Punch Grafting Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Punch Grafting and request assistance for cost estimates or appointments.

About Punch Grafting

Punch grafting is a specialized dermatological surgical procedure used to treat stable, non-infected, and non-active vitiligo patches, particularly those resistant to other treatments. A dermatologist uses a small, circular instrument called a punch to harvest tiny, full-thickness skin grafts from a donor site (often the buttocks or thigh) and then transplants them into identically sized recipient sites created in the depigmented area. This technique aims to transfer melanocytes (pigment-producing cells) to the affected skin, encouraging repigmentation. It is considered a minimally invasive option for carefully selected patients, offering a targeted approach to restore skin color in small to medium-sized vitiligo lesions. The success depends on proper patient selection, precise technique, and post-operative care.

Key Highlights

    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.
  • checked Typical hospital stay: 0 days (outpatient procedure)
  • checked 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.

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 USD 88 – USD 276 0 days (outpatient procedure) ~ 2-3 weeks for initial healing; full pigment development may take 3-6 months Know More
Turkey USD 656 – USD 2,049 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.

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Manipal Hospital Jaipur

  • IconJaipur, India
  • Icon55 Doctors
PATIENT REVIEW

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.

Dr. Somnath Das
  • 8 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 1200
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway, Kolkata

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Dr. Shantini Vijayasuriar
  • 9 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Millers Road, Bangalore

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Dr. Arti Sarda
  • 16 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

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Dr. Chanchal Bhar
  • 24 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

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Dr. Simantini R. Sakhardande
  • 10 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Goa , Panaji

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Dr. K R Sharmatha
  • Years Experience
  • Dermatologist
Consult Charge ₹ 800

MediFyr Plus SIMS Hospital Vadapalani, Chennai

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Dr. Piyali Chatterjee
  • 18 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake, Kolkata

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Dr. Jayanta Kumar Barua
  • 13 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

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Dr. Jaidev Yadav NC
  • 19 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Millers Road, Bangalore

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Dr. Sai Lahari Rachumallu
  • 3 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar, Bhubaneshwar

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Dr. Souvik Sardar
  • 13 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

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Dr. Vijender Kumar Saini
  • 10 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jaipur, Jaipur

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Dr. Chandrashekhar C. R.
  • 40 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Goa , Panaji

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Dr. Jaidev Yadav
  • 20 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

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Dr. Shouvik Ghosh
  • 15 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

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Dr. Ritika Shanmugam
  • 9 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

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Dr. Sharanya Padma
  • 8 Years Experience
  • Dermatologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

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