Pigmentary Disorders

UT Southwestern Medical Center offers the most advanced therapies in the world for treatment of vitiligo, melasma, and other pigmentary disorders.

These disorders are common but often difficult to treat. They occur in all races but are especially troublesome for individuals with darker skin types. Vitiligo causes white spots on the skin, often around the eyes, nose, and mouth, as well as the hands and feet. Melasma and post-inflammatory hyperpigmentation cause disfiguring dark spots to appear on the face and occasionally the body as well.

Increased pigmentation of the skin is a common problem, affecting all skin types. One form of pigmentation called melasma occurs frequently during pregnancy but many women suffer from this facial pigmentation for years or decades after having children.

Another form of facial pigmentation is brown spots left over from acne, also called post-inflammatory hyperpigmentation.

Our dermatologists have been studying these disorders for more than two decades and have led international research studies that have resulted in new advances in treatment.


A new form of surgical therapy for vitiligo, using cellular suspension grafts, is now available at UT Southwestern. This groundbreaking procedure is offered in only two centers in the United States and uses small pieces of donor skin, which is processed into a cellular suspension and transplanted into much larger areas of vitiligo.

UT Southwestern dermatologists are at the forefront of surgical advances for vitiligo and are now developing even better procedures that will be taught to physicians worldwide.  

Our Team

Our physicians are world-renowned for advancing research and treatment options for pigmentary disorders. Our team has experience in treating these disorders with topical agents, chemical peels, lasers, ultraviolet light exposure, and surgical procedures. Often a combination of these therapies is needed for optimal results.