Autologous Mini Punch Graft in Vitiligo: A Narrative Review

Autologous mini-punch grafting is a surgical technique used to treat vitiligo by transplanting small skin pieces to achieve repigmentation. This method is suitable for patients with stable, facial, or minor vitiligo, especially when non-surgical treatments have failed. However, it is contraindicated for those with active vitiligo, a tendency to keloids or hypertrophic scars, large affected areas, or unstable medical conditions. The most common complication is cobblestone appearance, with graft rejection also possible, particularly in herpes labialis-induced lip leukoderma. The technique shows promising results, achieving up to 75% repigmentation in 78% of patients.