Having vitiligo for the past 16 years on my legs, palms, feet, penile area, chest, etc., and I regularly use Vitiskin, Topcort, and Topgraf. Do you think these treatments are effective in managing it? Should I be doing anything differently or trying out other treatments? It's been such a long time, and I'm a bit concerned about the spread and whether I'm on the right track with these products. Any advice would be appreciated.

Overview of Current Treatments

• Vitiskin: Aids in skin repigmentation.
• Topcort (Mometasone 0.1%): Reduces inflammation; long-term use may cause skin thinning.
• Topgraf (Tacrolimus 0.03%): Modulates immune response, effective for sensitive areas.

Effectiveness of Long-Term Use

• These treatments can stabilize and repigment patches. Monitor for side effects, especially with prolonged steroid use.

Alternative and Additional Treatment Options

• Consider phototherapy (Narrowband UVB), systemic treatments, or newer topical agents. Combining therapies may enhance outcomes.

Importance of Regular Dermatological Follow-Up

• Regular check-ups are crucial to monitor response and adjust treatments as needed.

Lifestyle and Supportive Measures

• Practice good skin care, use sun protection, and seek psychological support if needed.

When to Consult a Specialist

• Consult a dermatologist specializing in pigmentary disorders for personalized advice.