Method: Daily to twice daily external application of a high strength corticosteroid cream or immune modulating agent known as calcineurin inhibitor to areas of discoloured skin.

Suitable for: Patients with limited areas of vitiligo patches (usually less than 10% of total body surface area).  

Advantage: Established method of treatment with proven results in clinical trials, ease of use, convenience of self treatment at home

Disadvantage: Potential side effects of corticosteroid creams include local skin thinning, appearance of streaks or lines, bruising, increased hair growth.

Method: Daily or twice weekly intake of an oral corticosteroid tablet for several months or until symptoms are controlled.

Suitable For: Patients with rapidly spreading vitiligo patches

Advantage: Helps to stop disease progression 

Disadvantage: Not effective in restoring colour back to skin. Multiple potential side effects such as weight gain, acne, thinning of the skin and bones, high blood pressure and high blood glucose, fluid retention, mood swings, insomnia, increased vulnerability to infection, muscle weakness and eye disorders. 

To minimise these potential side effects, doses are usually kept low and duration of use kept to the shortest possible for achieving intended effect. May not be suitable for patients with certain medical conditions.

Method: Various techniques are in use.  They generally involves removing the top layer of discoloured vitiliginous skin to replace it with well-pigmented skin or its elements that were harvested from elsewhere in the body.

Suitable for: Patients with localised stable vitiligo for whom other medical treatments (as mentioned above) have been tried but did not work.

Advantage: High success rate of re-pigmentation if performed by qualified personnel.  Can be a once off treatment, although procedure may be necessary 

Disadvantage: Risk of infection, scarring, cobblestone-like skin, failure of treated area to recolour, new vitiligo patches may develop at harvest site.

Method: Removes remaining colour from skin by daily application of a medicated cream

Suitable for: Patients with widespread vitiligo 

Advantage: Allows patient with severe, widespread vitiligo to achieve a single skin colour (white)

Disadvantage: Depigmentation is often permanent.  Patients will always be extremely sensitive to sunlight as a result of complete depigmentation.