It can happen that a reaction occurs to laser hair removal and vitiligo develops. We call this Koebbner phenomenon, the occurrence of an exacerbation of a skin disease due to damage. If you still want to try it, at least make a test spot and, if necessary, immediately treat it with protopic. However, the risk remains, so whatever you do (epilation, laser), this is a difficult problem to solve. Hair removal with cream is probably the safest, but of course not permanent. This can also irritate and worsen vitiligo. Unfortunately, there is not a 100% secure solution for everything.

There are a number of points that are important when laser hair removal for vitiligo.
• If the hair has turned white/gray, the laser can no longer achieve anything. Electric epilation is possible, but only for small areas.
• Any obvious damage to the skin can trigger vitiligo. The stronger the damage, the greater the chance. Normally, a hair removal laser will only irritate the skin slightly and is unlikely to cause new white spots. But that's not certain.
• The natural activity of the vitiligo is also important. With very active vitiligo, minor irritation can cause a new spot. If the vitiligo is completely stable, the chance of it spreading is very small, even if the skin has been damaged more by the laser treatment.
• Unfortunately, we cannot accurately predict the activity of vitiligo. But it is likely that if the vitiligo has been stable for a year (no expansion, no new spots), then there will be stability in the coming months and therefore laser treatment will be safe.