Skin Type Research Articles

Pressure Injuries and the Waterlow Subscales in the Intensive Care Unit: A Multicentre Study

ABSTRACTBackgroundPressure injuries (PIs) impose a significant burden on patients in the intensive care unit (ICU) and the healthcare system. Assessing the risk of developing PIs is crucial for prevention. However, it is unclear whether all subscales of the Waterlow scale can be used to assess PIs risk in ICU.ObjectivesTo assess whether all subscales of the Waterlow scale can predict PIs risk in ICU.DesignMulticentre prospective study.MethodsA total of 18,503 patients from ICUs in 40 tertiary‐level hospitals in Gansu province of China were enrolled from April 2021 to August 2023. The incidence and characteristics of PIs were recorded. Univariate Cox regression analyses were performed for each subscale as a predictor of PIs development, followed by multivariate Cox regression with covariates for each subscale separately.ResultsOut of 17,720 patients included, the incidence of PIs was 1.1%. Multivariate analysis revealed skin type (HR: 1.468, 95% CI: 1.229, 1.758), sex (HR: 0.655, 95% CI: 0.472, 0.908), advanced age (HR: 1.263, 95% CI: 1.106, 1.442), continence (HR: 1.245, 95% CI: 1.052, 1.473), tissue malnutrition (HR: 1.070, 95% CI: 1.007, 1.136) and neurological deficit (HR: 1.153, 95% CI: 1.062, 1.251) were independently predictive of PIs development for all participants. Skin type (HR: 2.326, 95% CI: 1.153, 3.010) (HR: 2.217, 95% CI: 1.804, 2.573) independently predicted PIs occurrence for high‐risk and very high‐risk group, respectively, while sex (HR: 0.634, 95% CI: 0.431, 0.931) and age (HR: 1.269, 95% CI: 1.083, 1.487) predicted PIs development for very high‐risk group.ConclusionsThis study found that not all subscales of the Waterlow scale are associated with the PIs development in patients in ICU, highlighting the importance of the skin type subscale in predicting PI risk across all patient groups.Implications for Clinical PracticeNurses need to focus on patient's skin and related (moisture, pain and pressure) conditions and take measures to promote skin health and avoid the occurrence of PI.Patient or Public ContributionNone.

Exploring mechanisms of skin aging: insights for clinical treatment

The skin is the largest organ in the human body and is made up of various cells and structures. Over time, the skin will age, which is not only influenced by internal factors, but also by external environmental factors, especially ultraviolet radiation. Aging causes immune system weakening in the elderly, which makes them more susceptible to dermatosis, such as type 2 inflammatory mediated pruritus. The immune response in this condition is marked by senescent cells consistently releasing low amounts of pro-inflammatory cytokines through a senescence-associated secretory phenotype (SASP). This continuous inflammation may accelerate immune system aging and establish a connection between immune aging and type 2 inflammatory skin diseases. In addition, two chronic pigmentation disorders, vitiligo and chloasma, are also associated with skin aging. Aged cells escape the immune system and accumulate in tissues, forming a microenvironment that promotes cancer. At the same time, “photoaging” caused by excessive exposure to ultraviolet radiation is also an important cause of skin cancer. This manuscript describes the possible links between skin aging and type 2 inflammation, chronic pigmentation disorders, and skin cancer and suggests some treatment options.

Predictive Model of the Effects of Skin Phototype and Body Mass Index on Photobiomodulation Therapy for Orofacial Disorders

Monte Carlo techniques have been extensively used for planning laser-based clinical procedures such as photobiomodulation. However, the effects of several biological tissue characteristics regarding its morphological structure and physiological parameters have not been carefully addressed in many applications. Specifically, many questions remain concerning the effect of skin phototype and body mass index on the effectiveness of photobiomodulation for extraoral therapies. To address these questions, a Monte Carlo simulation model of the effects of body mass index-dependent skin structure on different Fitzpatrick skin types was developed, specifically tailored for the morphological characteristics of cheek tissue. The model describes the settings of a typical oral photobiomodulation treatment protocol for pain relief, namely the use of 660 nm and 808 nm laser wavelengths and a therapeutic dose of 2.0J/cm2 on the masseter muscle. The simulations were used to train a machine learning predictive model aimed at accelerating the treatment planning stage and assessing the importance of patient-specific parameters. A multiple-regression approach was adopted to predict muscle dose and treatment time for effective delivered dose. Body mass index had little effect on epidermal energy deposition, but an important impact on muscle dose parameters. Phototype also influenced muscle dose, but to a lesser extent than body mass index. The results of this study can be used to develop customized dosimetry phototherapy protocols to promote more effective and safe clinical outcomes.

Systematic Review: Keloid and Hypertrophic Scar Management Updates

Keloids and hypertrophic scars pose significant challenges in clinical management due to their propensity for recurrence and their impact on patient’s quality of life. This systematic review evaluates the efficacy of various treatment modalities for these scars, with an emphasis on clinical outcomes, symptom alleviation, and recurrence rates. A comprehensive literature search identified studies published between 2014 and 2024, encompassing randomized controlled trials and observational studies. Results indicate that advanced therapies, such as botulinum toxin type A (BTX-A) and platelet-rich plasma (PRP), exhibit superior outcomes compared to traditional treatments, including triamcinolone acetonide (TAC), particularly concerning scar appearance and safety profiles. Furthermore, combination therapies, such as intralesional cryotherapy and CO2 fractional laser with intense pulsed light (IPL), demonstrated promising results in enhancing scar reduction and patient satisfaction. This review underscores the necessity of personalized treatment strategies tailored to individual patient requirements, taking into account factors such as scar characteristics and skin types. Future research should concentrate on optimizing treatment regimens to maximize efficacy while minimizing adverse effects, thereby ensuring long-term success in the management of keloids and hypertrophic scars.

Improvement in the Youthfulness of Facial Skin after a Single Treatment with Platelet Rich Plasma

Objective: Platelet rich plasma (PRP) is an autologous substance widely used to stimulate dermal collagen synthesis. This study aimed to investigate the efficacy of a single PRP treatment for facial rejuvenation. Materials and Methods: This study was conducted at the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand from August 2020 to March 2021. Enrolled patients underwent a single intradermal injection treatment of 0.1 mL PRP at 30 locations on the face. Outcomes were assessed at 1, 2, and 4 weeks post-intervention using the patient-perceived age visual analog scale (VAS), FACE-Q assessment, and elasticity index (EI) with a Cutometer. Results: Forty Thai patients with an average age of 36.4 years, Fitzpatrick skin type 3-4 were enrolled. The mean Patient-perceived Age VAS significantly decreased one month after treatment (-2.71±2.42, p<0.001). FACE-Q satisfaction with facial skin was 74.29±14.49, and satisfaction with the outcome was 73.41±16.26 (scale 0-100). The PRP significantly affected skin EI, with the peak improvement observed at 1-2 weeks post-injection, predominantly at the cheek, crow’s feet, and perioral area (all p<0.05). All patients had an overall improvement in satisfaction scores throughout the study. Conclusion: A single treatment of PRP injection resulted in overall satisfaction in facial skin rejuvenation as measured by patient-perceived age VAS and FACE-Q assessment. The PRP showed positive outcomes in EI with peak performance at 1-2 weeks post-treatment.

Dermal Microcoring for Skin Laxity, Rhytides, and Scars.

Dermal microcoring extracts cores of skin that are small enough to allow healing in a scarless fashion. Its use has been reported in the treatment of skin laxity, rhytides, and textural abnormalities. To report the authors' clinical experience using dermal microcoring in a variety of cases. A retrospective chart review was performed looking at dermal microcoring cases for any indication between August 2022 and March 2024. Thirty-eight patients were treated. Overall, 32 (84.2%) patients were women, with median age of 67 years (R: 20-80 years). Fitzpatrick skin types I to V were represented. Among patients with adequate photographs for review, improvements of grade 3 and 4 (good and excellent) were seen in 85.7% (n = 18/21) treated for skin laxity and rhytides, 50.0% (n = 3/6) treated for acne scars, 66.7% (n = 2/3) treated for traumatic or surgical scars, and 100.0% (n = 3/3) treated for foreign material. Six (15.4%) patients experienced erythema or hyperpigmentation lasting more than 4 weeks, and 2 (5.1%) patients experienced temporary focal scarring, which improved with intralesional therapy and laser treatment. No patients experienced permanent dyspigmentation, prolonged edema, or infection. Dermal microcoring has been demonstrated to safely and effectively treat skin laxity, rhytides, scars, and foreign material.

Revolutionising Skincare Through Airtificial Intelligence

Abstract: Background: Over the last 10years there has been a drastic shift in the development of computer-based systems, artificial intelligence, algorithms and technology in the world of dermatology be it cosmetic or even retail production of products sold to customers with high-tech technology and innovative means to build their client base through customer delight. Artificial Intelligence is particularly helpful in recognizing the type of skin customers have and suggesting solutions which help customers pick from the range of options given to them. Most e-commerce platforms have begun using such AI driven soft wear to help customers while they are in the comfort of their homes to choose from a range of cosmetic options right from lipsticks, concealers, foundation, eyeshadows, shades of tins, serums etc. Given that every person has a different skin type, these applications ensure 100 percent personalized suggestions. This new trend is sending shock waves across the retail sector around the world attracting a massive customer base to adapting to AI Derma logy and retail. The intelligent software used by sever companies not only benefits the customer, but also helps companies with their operational efficiency as they can use AI algorithms to predict and forecast the inventory to help reduce over production and excessive stock production minimizing product wastage and improving sustainably.AI is booming in both clinical diagnosis as well as giant companies such as Loreal and Olay who are dedicated to providing customers with advanced tools like skin analyzers or apps based on predefined rules which help AI-powered tools analyze skin conditions, age, and personal skincare history to provide highly personalized product recommendations. In clinical diagnosis AI offers valuable insight to the patient’s skin and condition be it cancer or other skin diseases making judgments to assist the doctors and dermatologist in making informed decisions regarding the line of treatment for the patient in question. This includes screening, diagnosis, treatments and predictions of the treatment outcomes. These new innovative and robust AI systems leaving customers feeling confident and have not begun relying on AI driven treatments and procedures

Lichen Planus: Health Related Quality of Life, Dermoscopic Features and Clinical Variants in Uganda

Background: Lichen planus is a chronic, lichenoid inflammatory disorder affecting skin, mucous and appendages that can negatively impact patients’ quality of life. The clinical variants and dermoscopic feature vary based on skin type and race. Such an understanding can ease the diagnosis of lichen planus among dark skinned people. Aims and Objective: The goal of this study was to assess the quality of life and to describe the clinical variants and dermoscopic features among adult patients with lichen planus attending a Regional Referral Hospital skin clinic. Methods: A cross-sectional study was conducted from January to June 2024. A questionnaire was used to collect patients’ data, a standardized tool (DLQI) to assess the quality of life, dermoscopy for describing dermoscopic features and data analyzed using Stata version 17.0. Results: We enrolled 52 adult patients, the median age was 34.5 IQR= 25 – 47. There was a significant relationship between itch X2(1, n = 52) =17.5102, p<.001), embarrassment X2(1, n = 52) =9.5510, p<.002) with patients’ impaired quality of life. More patients had a very large effect on their quality of life (36.54%). The most common variants were classical (50%) and hypertrophic (23.08%). On dermoscopy 104 lesions were examined, (25.96%) of lesions had a violet, (22.11%) gray, (15.38%) gray-blue and (15.38%) gray-violet background. The pigmentary changes seen were mostly brown (69.23%). Wickham’s striae patterns were reticulate (21.15%) and diffuse (14.42%). Limitation: A single study site. Conclusions: lichen planus exerts a very large effect on patient’s quality of life. Itchy skin and a feeling of embarrassment significantly affected the quality of life. Classical and hypertrophic were the most common forms of lichen planus. The most lesions had violaceous or a grayish background, and had brown pigments with a reticulate and diffuse wickham’s striae patterns. Routine screening of quality of life should be practiced on patients with lichen planus.

Enhancing patient education and engagement through digital intelligence tools in dermatology

This comprehensive digital health review examines the expanding landscape of digital intelligence tools within dermatology, specifically examining the innovative role of AI-powered applications aimed at educating and engaging patients in managing their skin health. Drawing upon a wide array of existing research, this review scrutinizes the evolution and impact of various digital tools. These include interactive apps that leverage AI algorithms to deliver tailored skincare guidance, considering factors such as skin type, concerns, and environmental factors. Additionally, the review explores the emerging use of immersive virtual reality experiences to deepen patients’ understanding of skin conditions, offering vivid simulations and educational content. These innovative approaches showcase significant promise in not only improving patient outcomes but also fostering greater treatment adherence and overall satisfaction with dermatological care. Looking ahead, future research should prioritize fine-tuning AI algorithms to further personalize patient recommendations, exploring the integration of wearable technology for real-time monitoring, and conducting longitudinal studies to evaluate the sustained effectiveness and scalability of digital intelligence tools in promoting patient education and engagement. Moreover, innovative strategies such as gamification techniques and social support platforms hold considerable potential for enhancing patient empowerment and involvement in managing their skin health. Leveraging digital intelligence tools will eventually redefine the landscape of dermatological care, empowering patients and optimizing treatment outcomes through enhanced education and engagement.

A Comprehensive Guide to Whitening Ingredients for Women

Many people think that a fair and glowing complexion is a sign of beauty; however, with the large number of whitening products available in the market of varying quality, the question of how to choose the right whitening product is an important one. This article takes an in-depth look at the whitening ingredients available to users, which include vitamin C, arbutin, niacinamide, kojic acid, glutathione, alpha-hydroxy acids (AHAs), licorice extract, and ellagic acid. For each ingredient, the source, production method, function and details are provided. Results show that different skin types have specific needs. Dry skin requires moisturizing, oily skin benefits from sebum control and light textures, and sensitive skin needs mild ingredients. Each ingredient has its advantages and disadvantages, and potential drawbacks such as stability issues, allergic reactions, and skin irritation are discussed. This paper also emphasizes key points for choosing whitening products, including understanding skin type, considering the pros and cons of each ingredient, researching product source and quality, following correct usage methods, and combining with a comprehensive skincare routine and sun protection. This research is significant as it provides valuable guidance for women in making informed choices about whitening products, helping them achieve a healthy complexion through proper skin care and understanding of different ingredients.

Multimodal flexible electronic skin with adjustable module size for robot collision detection

Purpose This paper aims to present a modular multimodal flexible electronic skin that can be used for robot collision detection in human–robot interactions. This type of electronic skin will meet the requirements of performance indicators such as sensing mode, sensing domain coverage and dynamic data update rate in human–robot interactions. Design/methodology/approach The electronic skin uses a modular architecture, and the sensing module is designed to be adjustable in size so that it can be easily deployed on complex robot surfaces, increasing area coverage, reducing power consumption, and improving data update rates. Findings The authors evaluated electronic skin through experiments using a UR5 robot. Electronic skin has high static scene perception differentiation and dynamic scene perception abilities. Moreover, the robot realizes a high-speed collision response based on the electronic skin proposed in this study. Originality/value The proposed electronic skin provides crucial technical support for advancing robotic technologies, and holds promising prospects for industrial applications.

EVALUATION OF THE EFFICACY OF THE "BELEZAS DO AGRESTE" SKINCARE KIT IN THE SKIN CARE ROUTINE OF A GROUP OF UPE VOLUNTEERS

Highlighting the importance of the skin and its protective and thermoregulatory functions, skin conditions and their psychosocial effects, and the increase in the search for hygiene and beauty products, the following study seeks to evaluate the effectiveness of the skincare kit distributed to volunteers by the Belezas do Agreste 3.0 extension project. The interactions of Instagram® users with the extension project page, which publishes reliable information on skin care on a weekly basis, were analyzed, and a beauty kit consisting of moisturizing gel and neutral and exfoliating soaps was distributed to volunteers who freely agreed to participate in the research. The kit was produced by the members of the extension project under the best hygienic and sanitary conditions, and personalized instructions for use were distributed to the participants according to their skin type assessment. The research, approved by the Ethics and Experimentation Committee with Human Beings of UPE, was conducted based on the collection of participants' responses to a structured online questionnaire to evaluate the products, respecting the privacy and integrity of the data obtained. The results are presented in the form of graphs and report positive evaluations regarding the information published on the project's social network and the products present in the beauty kit; specifically in relation to Instagram®, an increase of just over 1000% was recorded in the reach of the extension project's page. Considering the distribution of the beauty kit and the evaluation of its products, the participants claimed an improvement in the appearance of their skin, in addition to the reduction of oiliness and promotion of softness. Thus, this work can be considered productive and satisfactory in terms of reaching the general population on the subject of aesthetics through the dissemination of quality information on a social network, in addition to distributing a beauty kit to participants who voluntarily joined the Belezas do Agreste extension project and evaluated the products in the kit as efficient in improving the general appearance of the skin.

Dermoid Cysts of the Auricle: A Review of the Literature.

Dermoid cysts are congenital anomalies that contain ectodermal elements such as teeth, bone, and nerves. The purpose of this study was to identify trends in the characteristics of dermoid cysts of the auricle and the demographics of the patient population they affect. A PubMed and EMBASE search for English-language publications that included cases of dermoid cyst(s) of the auricle from database inception to October 2022 was performed. A total of 38 cases of dermoid cysts of the auricle were identified from 20 publications. The age, sex, and Fitzpatrick skin type of the patients, locations of the dermoid cysts, associated anomalies, treatment methods, and postoperative outcomes were examined. Patients' ages ranged from 0 to 63 years, with 27.6% (8/29) in the 0-17 age range. 56.8% (21/37) were reported as male. Dermoid cysts were frequently present on the postauricular surface (18/24, 75.0%) and on light skin (Fitzpatrick types I-III; 18/22, 81.8%). Unilateral dermoid cysts were more commonly reported on the right ear (17/22, 77.3%); only one patient had bilateral cysts. Associated anomalies included microtia, prominent ears, foot polysyndactyly, hemifacial microsomia, and cryptotia. All auricular dermoid cysts were managed with complete surgical excision, and no postoperative complications or recurrences were reported. Dermoid cysts of the auricle are reported more frequently in individuals with lighter skin; however, this is likely due to reporting bias. Complete surgical excision can be used to treat patients successfully, with a very low risk of complications and no need for preoperative imaging.

Efficacy of Subdermal Poly-d,l-Lactic Acid Injections for the Treatment of Melasma.

Melasma is a chronic, recurrent skin disorder with limited long-term treatment success using conventional therapies like hydroquinone and laser treatments, which primarily target epidermal components while leaving dermal aspects untreated. To evaluate the efficacy and safety of poly-d,l lactic acid (PDLLA) subdermal injections for treating moderate melasma. Three female patients (age range: 45-59 years) with Fitzpatrick skin types III and IV received three PDLLA injection sessions at 3-week intervals. Treatment outcomes were assessed using the Melasma Area and Severity Index (MASI) and patient satisfaction scores at 12-week follow-up. All patients showed significant MASI score improvements (reduction range: 3.60-6.30 points). Patient satisfaction ratings ranged from 3 to 4 out of 4. Temporary side effects included mild edema and bruising, resolving within 72 h. PDLLA subdermal injections showed promising results in melasma treatment, potentially due to its biostimulatory effects on collagen production and dermal remodeling. Further research, including histopathological analysis, is needed to confirm long-term efficacy and safety, and understand underlying mechanisms.

INTERNAÇÃO POR FRATURA DE FÊMUR NO BRASIL NO PERÍODO DE 2012 A 2022: ANÁLISE DE ACORDO COM A COR DA PELE

OBJECTIVE: To retrospectively analyze the total number of hospitalizations for femoral fractures in the elderly according to regions in Brazil and skin color, from 2012 to 2022. METHODS: Ecological and retrospective time series study that evaluated data on femoral fractures in the elderly, based on data available on the Ministry of Health websites. The following variables were evaluated: Total hospitalizations according to skin color, age group and type of service used. RESULTS: The number of white people was much higher in the private health service. Regarding brown skin color, the north and southeast had more people hospitalized in the public sector. Regarding hospitalization according to age group, all categories had the same behavior, with an increase in the number of hospitalizations as there is an increase in age magnitude. There was an increase in the number of hospitalizations over the years, only between 2019 and 2020, there was a slight decrease, observed especially in people with brown skin. CONCLUSION: There is a discrepancy in the number of hospitalizations for femur fractures in the elderly between Brazilian regions. This study shows that femoral fractures continue to be a health problem present in the Brazilian population, regardless of skin color and that their increasing behavior over the years reflects the aging of the population.

Cutaneous melanoma in situ: a review.

Cutaneous melanoma in situ (MIS), also known as 'stage 0 melanoma', is a collection of malignant melanocytes in the epidermis and epithelial adnexa, without evidence of microinvasion to the papillary dermis. Distinct histologic subtypes include lentigo maligna (LM), superficial spreading (SS) MIS and acral lentiginous (AL) MIS. LM is the most common subtype, usually diagnosed later in life (median age at diagnosis of 66-72 years) and associated with cumulative ultraviolet radiation exposure. SS MIS is associated with intense episodes of sun exposure and is more common on the trunk and extremities. AL MIS is seen in non-hair-bearing skin. Although rare (0.6% of MIS in England), AL MIS is found in higher proportion in more pigmented skin types compared to other MIS subtypes. Most international studies between 1990-2019 report rising incidence for MIS. US data support a deceleration in the rising incidence of LM between 2016-2019. For 2013-2019 in England, the recorded incidence of LM is plateauing, while that of other MIS is rising. Definitive diagnosis of MIS is by histological examination of biopsied skin with immunohistochemistry but can be supported with dermoscopy and reflectance confocal microscopy. Surgical treatment (excision or Mohs micrographic surgery) is the gold standard. Depending on MIS subtype, other options such as cryotherapy, topical imiquimod, radiotherapy, or watchful waiting may be appropriate. The latest 5-year net survival rates in England between 2013-2015 are 98.6% for AL MIS and exceed 100% for all other MIS. This review summarises the aetiology, pathogenesis, epidemiology, diagnosis and management of MIS.

A prospective study analyzing the use of free public sunscreen dispensers.

This study evaluates the impact of sunscreen dispensers in increasing sunscreen usage and awareness in Summerside, Prince Edward Island, Canada. In June 2022, three touchless sunscreen dispensers offering free Health Canada-approved SPF 30 sunscreen were installed in areas of high pedestrian traffic. A team of four city workers gathered observational data over a 17-day span between July and August 2022. Seven days of monitoring took place at the city ballpark, seven at a children's park, and three at the city beachfront boardwalk. In total, 1202 individuals were observed near the dispensers, of whom 209 utilized the dispensers, yielding a usage rate of 17.4 per 100 persons. The usage rate varied by location, with the children's park recording a higher average (40.0 users per 100 persons), and was also weather-dependent, with increased usage on sunny days (average of 52.2 users per 100 persons). The majority of users were classified with a Fitzpatrick skin type of I or II. The sunscreen bags, designed for 2000 applications, did not require refilling during the observation period. The QR code associated with the dispensers was scanned 14 times. The findings of this study indicate that installing sunscreen dispensers in public spaces may increase the frequency of sunscreen application. Both the location of the dispensers and the perception of weather conditions seem to impact usage rates.

Association of human leukocyte antigen allelic variants with hidradenitis suppurativa across Fitzpatrick skin types: a cross-sectional analysis

Association of human leukocyte antigen allelic variants with hidradenitis suppurativa across Fitzpatrick skin types: a cross-sectional analysis

Granulomatous secondary syphilis - 2 case reports and review of the literature.

Granulomatous inflammation is usually described in association with tertiary syphilis up till recent years where there are emerging cases reporting its presence in secondary syphilis. Herein we present two patients who presented with erythematous infiltrated papules and nodules and were eventually diagnosed with granulomatous secondary syphilis, with clearance of their rashes after treatment. In this article, we highlight the important clues that point clinicians and histopathologists towards the diagnosis of syphilis compared to other similar differentials such as leprosy in reaction, cutaneous histiocytosis and lymphoma. Additionally, from literature review and own experiences, we wish to highlight that granulomatous syphilis is often palmoplantar sparing and its presence may not necessarily be a feature of immunocompromised states (e.g. human immunodeficiency virus) In this increasingly connected world, the recognition of an atypical presentation of an age-old disease in patients with different skin types needs to be underscored with close clinicopathological correlation.

Potential execution of vitiligo surgery by the most conceivable technique – which, where, and why?

While various treatment options exist for vitiligo, surgical interventions have gained significant attention due to their potential for long-lasting repigmentation. Several surgical procedures have been developed, including miniature punch grafting, thin Theirsch’s split-thickness skin grafting (STSG), suction blister technique, and ultrathin STSG. The decision-making process should also consider the potential risks and benefits associated with each technique. Factors such as graft survival, color match, post-operative complications, and long-term stability of repigmentation should be evaluated. In addition, patient factors such as comorbidities, skin type, and psychological impact should be carefully considered to ensure optimal surgical outcomes. We, hereby, aim to explore the potential execution of vitiligo surgery using the most conceivable technique, considering factors such as efficacy, safety, and patient-specific characteristics.