Vitiligo Treatments in Austin, TX

Vitiligo is a chronic skin condition in which pigment-producing cells, called melanocytes, are destroyed by the immune system. As a result, patches of skin lose their natural color and appear white or lighter than the surrounding areas. While the condition poses no threat to physical health, its visibility can greatly affect self-esteem and emotional well-being.

Vitiligo may develop at any age, though it most often begins in childhood or early adulthood. It affects people of all skin tones, though the contrast is usually more noticeable in darker complexions. In some individuals, pigment loss stays limited to a few small spots, while in others, it may spread more widely or progress over time.

There is no permanent cure, but a range of therapies can improve skin appearance and help control progression. Options may include topical or oral medications, light-based treatments, and advanced procedures designed to restore pigment and reduce the spread of depigmentation.

Vitiligo presents in different patterns and can progress unpredictably. Signs and symptoms may include:

• White or depigmented patches of skin that may enlarge gradually over time.
• Often seen on sun-exposed areas (face, hands, arms), as well as high-friction areas such as the knees, elbows, underarms, and groin. Hair within affected areas may also turn white.
• Vitiligo does not typically present with any pain or discomfort. 
• The condition may remain stable for years or spread gradually. Triggers such as skin trauma, illness, or stress can sometimes accelerate pigment loss.

Vitiligo is an autoimmune disorder, meaning the immune system targets the body’s own cells. Though the exact cause is not fully understood, several factors may contribute:

• Genetic predisposition or family history
• Links to other autoimmune conditions (e.g., thyroid disease, type 1 diabetes)
• Environmental triggers such as skin trauma, severe sunburn, or stress
• Hormonal changes or imbalances

While vitiligo cannot be cured, treatments can restore pigment to affected areas and slow disease progression. Options may include:

• Topical Prescriptions – including corticosteroids or nonsteroidal creams (such as tacrolimus) to help repigment skin
• Light Therapy (Narrowband UVB / Light Box) – stimulates melanocytes to encourage pigment return
• Excimer Laser (XTRAC®) – targeted therapy for smaller, resistant patches
• Oral Prescriptions – in selected cases, to help regulate immune system activity
• Depigmentation Therapy – rarely, for widespread cases, to create an even skin tone across the body