Vitiligo on fingers and legs can be challenging to treat, especially after 6 years. Standard medical treatments include prescription topical corticosteroids or calcineurin inhibitors (like tacrolimus). A newer, highly effective option is topical JAK inhibitors (ruxolitinib). For resistant areas, phototherapy (Narrowband UVB) or excimer laser sessions can help stimulate pigment. If your vitiligo has been stable (not spreading) for at least a year, surgical options like skin grafting or melanocyte transplant are highly effective, especially for fingers where creams often fail. Please consult a dermatologist to evaluate whether your vitiligo is active or stable and customize a safe treatment plan.