Meek micrografting: a novel surgical technique for the treatment of depigmentation

Background: Transplantation plays a pivotal role in vitiligo surgery and has advanced at a galloping pace.Objectives: To enlist the latest developments in vitiligo transplantation surgery.Findings: Advancements in clinico-epidemiological and molecular profiling (CD8, CD45RO, CXCL-9) have enabled us to predict response to treatment better than ever before. The pace of transplantation has been augmented and the hassle of properly orienting the graft has been bypassed. The pallet has been expanded with a better donor to recipient ratio and ease of technique with regard to hair follicle transplants and suspensions. Suspending media have had a makeover, becoming less runner with a greater rate of pigmentation. Science has made the procedure more pocket and equipment friendly, be it in the realm of incubation or inhibition of trypsin. Electrofulguration, cryogens, salicylic and lactic acid, dental burrs, and lasers have made recipient site preparation easier. Adversity has been metamorphosed into an advantage by harvesting and transplanting the cobblestone that appears post-mini-punch grafting. Surgical techniques have been crafted to conform to special sites like the fingers, palmoplantar sites, ears, genitals, and nipple-areola. Conclusion:There have been many significant advancements in the field of vitiligo transplantation surgery in recent years especially in terms of ease of technique, minimal invasiveness, the pain associated with the procedure, and success rates.

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“…The unfolded gauze is then placed on the recipient site. Although it initially appears grid‐like, the pigmentation improves with time 12 …”

Section: Donor Site Preparationmentioning

confidence: 99%

Transplantation procedures in vitiligo: What's new

Thakur

Parsad

2022

Dermatological Reviews

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“…The Meek micrografting technique was first introduced in 1958 and is a milestone in acute burns surgery, 4 however, this technique has only recently been introduced for treating depigmentations. 5 The aim of this study was to evaluate the results of the Meek micrografting technique, with regard to repigmentation, side effects and patient-reported outcomes.…”

mentioning

confidence: 99%

“…A detailed description of the treatment procedure has recently been published. 5 Repigmentation after 6 weeks and 6 months of treatment was measured on UVA photographs using digital image analysis (ImageJ). In addition, patients filled in a questionnaire on the effectiveness, side effects and their treatment experience.…”

mentioning

confidence: 99%