When Is Melanocyte Transplant Recommended for Vitiligo?

The procedure moves pigment-producing cells from an area of normally coloured skin to a depigmented patch. A specialist assesses whether the vitiligo has been stable, the size and location of each patch, the skin available for sampling, and the likelihood that the treated area can heal well. Active new patches or frequent change in existing patches may make surgery less suitable because transplanted cells can be affected by ongoing disease activity.

Bring a clear history of when patches changed, previous creams or light-based treatment, and any history of poor wound healing or raised scars. Discuss the donor site, expected colour matching, aftercare, sun protection, and whether additional treatment may be needed. Read more about [Melanocyte Transplant](/treatments/surgical-dermatology/melanocyte-transplant/).

Seek a dermatology review if white patches are enlarging, new areas are appearing, or the diagnosis has not been confirmed before considering surgery. After a procedure, contact the treating team for increasing pain, spreading redness, drainage, fever, or delayed healing.

Ask how stability will be judged, whether the patch location is suitable, what donor skin will be used, how colour matching is assessed, and which alternatives remain if transplant is not advised.