; their location, sizes, and how widespread they are and the option that is convenient to you. Circumcision or surgical approach can only be undertaken if your vitiligo has not changed in the last year, no response to PUVA or PUVB treatment is there and there is no chronic disease like hepatitis B or HIV
Otherwise the treatment options include steroids,psoralen photochemotherapy(PUVA),depigmentation and surgical therapy like skin grafting,micropigmentation or tattooing and autologous melanocyte transplants.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.