Vitiligo and Narrowband UVBPhototherapy at House of Dermatology

Conveniently located to serve Alpharetta, John's Creek, Milton, and Roswell

What is Vitiligo?

Vitiligo is a skin disorder where pigment-producing cells (melanocytes) are destroyed, leading to white patches of skin that can appear anywhere on the body. The exact cause of vitiligo is not completely understood, but it is believed to be an autoimmune condition, where the body’s immune system mistakenly attacks melanocytes. Genetic factors, certain environmental triggers, and even stress have been implicated as contributing factors in the onset or progression of this condition.

Vitiligo can affect all ages and skin types, and while it is not dangerous to physical health, it can have a profound effect on self-esteem and emotional well-being.

Narrowband UVB Phototherapy:How Does It Work?

At House of Dermatology, we offer Narrowband UVB (NB-UVB) Phototherapy, one of the most advanced and effective treatments for vitiligo. This therapy involves exposing the affected areas of skin to a specific, narrow range of ultraviolet B light (311–312 nm), which encourages the repigmentation of the affected skin and can stop or slow the spread of further depigmentation.

Treatment Duration and Number of Sessions

NB-UVB phototherapy is typically performed two to three times per week. Each session is brief, usually lasting only a few minutes, as only the affected areas are exposed to the light. While individual responses can vary, most patients begin to see some improvement after 1 to 3 months of consistent treatment. Noticeable repigmentation usually occurs as treatment continues, with the best results typically achieved after 6 months or longer. The total number of sessions required depends on the extent of the vitiligo and patient response. Dr. Ravi Patel will guide you through your options and create a customized treatment plan during your personalized consultation.

Whyis Narrowband UVB Superior to Other Treatments?

Narrowband UVB phototherapy has become the preferred choice for many dermatologists and patients with vitiligo for several reasons:

  • Greater Effectiveness: NB-UVB is more effective at stimulating repigmentation compared to older treatments, such as psoralen photochemotherapy (PUVA), while offering a favorable safety profile [2].
  • Lower Risk of Side Effects: It is less likely to cause side effects such as severe sunburns or other long-term complications.
  • Simple and Painless: NB-UVB does not require taking oral medications or using topical chemicals prior to treatment.
  • Versatile: Suitable for treating both localized and widespread vitiligo.

Other treatments, such as topical corticosteroids, calcineurin inhibitors, and excimer lasers, may be used for certain cases or combined with phototherapy, but NB-UVB remains the cornerstone for widespread or rapidly progressing forms of vitiligo [2][3].

Costof Narrowband UVB Phototherapy

The cost of NB-UVB phototherapy can vary based on the number of treatments required to effectively treat your unique case of vitiligo. Our team will work with you to determine the most suitable, effective, and accessible plan for your needs—including guidance on insurance coverage and cost-saving options.

Schedule Your Appointment Today

If you are ready to explore a safe and effective option for treating your vitiligo, contact us today to schedule your personal and confidential consultation.

Frequently Asked Questions: Vitiligo & Narrowband UVB Phototherapy

What causes vitiligo?

Vitiligo occurs when the cells that produce skin pigment (melanocytes) are destroyed, resulting in white patches. While the exact cause isn’t fully understood, it’s believed to be an autoimmune condition. Genetics, certain environmental triggers, and even stress may play a role in its development.

Is vitiligo contagious?

No, vitiligo is not contagious. It cannot be spread from person to person by physical contact or any other means.

What are the symptoms of vitiligo?

Vitiligo is characterized primarily by sharply defined white patches on the skin. These patches are usually more noticeable in areas exposed to the sun, such as the face, hands, arms, and feet. Sometimes, hair in the affected areas may also lose its color.

How does Narrowband UVB phototherapy work?

Narrowband UVB phototherapy uses a very specific wavelength of ultraviolet light (311–312 nm) to stimulate pigment cells in the skin. This helps restore color to affected areas and can halt the progression of vitiligo.

How long does each phototherapy session take?

Initial sessions can last seconds—usually less than 5 minutes. The duration is gradually increased as tolerated, with a maximum session.

How often are treatments needed, and how many sessions will I require?

Treatments are typically done three times per week, with sessions spaced at least 24 hours apart. The total number of sessions is highly individualized, as each patient’s needs and response to treatment can vary. You will receive a personalized treatment plan with continuous monitoring and adjustments throughout your treatment cycle.

When will I see results from Narrowband UVB therapy?

Some patients start to notice improvement within 1 to 3 months, but significant repigmentation typically becomes more apparent after several months of consistent therapy.

Is Narrowband UVB safe?

Yes, Narrowband UVB is considered a safe and effective treatment for vitiligo. Mild redness, itching, or burning can occasionally occur, but side effects are generally mild and resolve quickly.

How does Narrowband UVB compare to other treatments?

Narrowband UVB generally requires fewer treatments and can achieve faster, longer-lasting results than traditional broad-band UVB. Unlike some other therapies, it does not involve oral medication or topical chemicals and carries a lower risk of side effects and safer than other treatments.

How much does Narrowband UVB phototherapy cost, and is it covered by insurance?

Phototherapy costs vary based on insurance plan and our experts can help you put together a personalized plan that meets your needs.