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Medical dermatology
Vitiligo treatment in Richardson, TX
Care for white or lighter patches of skin, with current treatment options from a board-certified dermatologist who sees every patient herself.
Dr. Kelsie Riemenschneider
MD, FAAD · Board-certified dermatologist. You will see her at every visit.
Overview
What causes vitiligo
Vitiligo is a condition in which the skin loses its pigment in patches. It happens when the immune system attacks melanocytes, the cells that give skin its color. The result is smooth white or lighter patches, often on the face, hands, arms, feet and around the eyes and mouth.
Vitiligo is not contagious, and it is not caused by anything you did. It affects people of every skin tone, though it is more noticeable on darker skin. It can start at any age, and about half of people develop it before age 20. It can be linked with other autoimmune conditions such as thyroid disease. Other conditions also cause light patches, so a diagnosis is the first step.
When to see a dermatologist
You notice new white or lighter patches of skin
Existing patches are growing or new ones are appearing
Hair within a patch is turning white
The change in your skin is affecting how you feel
Types of pigment loss we treat
Generalized vitiligo.The most common type, with patches on both sides of the body.
Segmental vitiligo. Patches on one side or one area of the body, which often start early in life and then stabilize.
Face and hand vitiligo.Patches around the eyes and mouth and on the fingers.
Other light patches. Conditions that look similar, such as tinea versicolor, pityriasis alba and light spots left after a rash.
Treatment
How we treat vitiligo
Treatment aims to stop the spread and bring color back, and it works best when started early. Results vary by body area: the face and neck tend to respond best, and the hands and feet most slowly.
Prescription creams. Topical steroids and non-steroid creams such as tacrolimus that calm the immune activity in the skin.
Ruxolitinib cream (Opzelura). A newer prescription cream approved specifically for vitiligo in adults and in children 12 and older.
Light therapy referral. Narrowband UVB treatment, which can be combined with creams to help pigment return.
Sun protection and cover-up. Sunscreen for patches that burn easily, and guidance on cover makeup and self-tanners.
Your visit
What to expect at your vitiligo visit
Tell us the history. When the patches appeared, how they have changed and any family history of vitiligo or thyroid disease.
Dr. Riemenschneider examines your skin. She may use a special light to see the patches clearly and confirm the diagnosis.
You leave with a plan. Treatment options explained, with any prescriptions sent to your pharmacy.
In network with most major health plans. See every plan we accept
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No. Vitiligo cannot be passed from person to person. It is an autoimmune condition, not an infection.
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Many people regain some or much of their color with treatment, though it takes months and varies from person to person. Starting early and staying consistent give the best chance.
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It is hard to predict. In some people it stays limited for years, and in others it spreads gradually or in bursts. Treatment can help slow or stop the spread.
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Yes. Vitiligo often begins in childhood, and there are treatments suited to children. We choose options that are appropriate for your child's age and the areas involved.
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Yes. Skin without pigment burns easily, and a sunburn can trigger new patches. Use a broad-spectrum sunscreen of SPF 30 or higher on exposed areas.
Related care Melasma and dark spots Rashes and hives Eczema Pediatric dermatology All medical dermatology
Reviewed by Dr. Kelsie Riemenschneider, MD, FAAD, board-certified dermatologist. Last reviewed October 2026. Sources: American Academy of Dermatology; National Institutes of Health.
Address 702 W Arapaho Rd, Suite 104, Richardson, TX 75080
Hours Monday to Friday, 8 AM to 5 PM
Phone 214-833-5300