Suction blister grafting for stable vitiligo using pulsed erbium:YAG laser ablation for recipient site

Abstract

The erbium:YAG laser is an ideal tool for creating graft recipient sites, given its precision in terms of width and depth of ablation. A 20-mL syringe can be used to create a blister of adequate size.

Vitiligo: A comprehensive overview

“…135 The bulla is then ''unroofed'' and transplanted onto the recipient site, which must be prepared to enable proper adherence and uptake of the graft. This is performed using the suction blister technique, 133 laser ablation, 136 or other means of creating a dermabraded surface. The graft is then cut to the appropriate size and shape and transferred to the recipient site.…”

Suction Blister Epidermal Grafting for Management of Eyelid Vitiligo: Special Considerations

“…10 Pulsed Erbium: YAG laser ablation has been used for preparing the recipient site. 11 In suction blister technique, the graft being very thin, spreading of the graft to its maximum size and its accurate transfer onto the recipient area are important steps. Fine gauze has been found to be very useful for ensuring both of these.…”

Advanced Treatment Modalities for Vitiligo

“…In this technique, a negative pressure apparatus producing À300 to À500 mmHg of pressure is applied to the normally pigmented donor site to promote the formation of multiple epidermal blisters. 36 The recipient site is prepared by removing the epidermis through induction of suction blisters, application of liquid nitrogen, PUVA, carbon dioxide laser, yttrium aluminum garnet laser, or dermabrasion 34,38,40,41 (Figure 8). The authors recommend applying a 20-mL syringe with the barrel removed to the skin with lubricant to create a seal.…”