ABSTRACT
With standard medical treatment options many, patients respond to minigrafting, but some patients remain recalcitrant or respond only partially. Any attempt of repigmentation of these resistant patches with conventional medicinal modalities is often unsuccessful and sometimes exasperating, indicating the absence of a melanocyte reservoir to induce repigmentation. Under these circumstances, melanocyte repopulation of the achromic areas is not possible unless a new source of pigment cells is placed by surgical methods within the depigmented lesion(s). Different corrective surgical methods have evolved during the last four decades. Among these, mini punch grafting is the easiest, fastest, least aggressive and minimal expensive method.
