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Hi Friends,

If you have patches on face or if you think you may have it,  I've just realized one good and easy prevention action that might really help you.

Brief description: 

It's possible that the physical friction/traumas in places where bones are close to the skin surface (bony prominences) induces vitiligo in predisposed people. This pattern is observed in finger tips, knees, elbows, feet, wrists  and face (see the latter below).

It's easy to understand that finger tips, knees, elbows, feet, wrists are submmited to a lot of traumas and friction in a daily basis, but I was puzzled with the face pattern.  Firstly I thought that the friction on face was mainly caused by the following actions:

Recently I've got to a more evident conclusion so that I'd like to share with you.

1- Human being head weighs around 5Kg (10-11 pounds);

2- When we are sleeping in a "freefaller", "log",  "foetus", "yearner"  positions (see position chart below), the face might be suffering a pressure from the whole head equivalent to 50Kgf /m2. Despite the cushion/pillow absorption,  it would be the same as having a 5kg (11 pounds) weight plate on your face for 6-8 hours a day.  It's too much for vit sufferers.

           5Kg weight plate

So,  my suggestion is to try to change the sleeping position to "soldier" or "starfish" (see above),  to avoid the bone pressure against the face.  It's worth a * long term * try.

Additionally, a Contoured Pillow Neck Support Cushion may give you  more comfort.

You can find it at Amazon.

Search for "Deluxe Comfort Full support Neck Position Pillow"

It's always important to remember that Protopic and Pseudocatalase cream are good options to treat vitiligo on face, both combined with UVB-NB phototherapy.