Background
Given that most patients with moderate to severe acne develop post‐acne scars, many treatment modalities can be used to ameliorate scaring; chemical peels, surgical excision, dermabrasion, fat transfer, autologous collagen, punch grafting, diverse filler injection, and lasers. Microneedling is one of the promising modalities based on the breaking of dermis‐damaged collagen and enhancing new collagen formation.
Microbotox (Mesobotox) injection may have a beneficial effect by causing muscular paralysis with subsequent dermal edema due to transient and mild lymphatic insufficiency. The comparison between these two modalities has not been yet assessed.
The aim of this study was to evaluate and compare the safety and efficacy of both methods (Microbotox and microneedling) in the treatment of atrophic post‐acne scars.
Methods
Between May 2021 to April 2022, patients with atrophic post‐acne scars were selected from the out‐patients clinics of the Department of Dermatology, Faculty of Medicine. The face was divided into two sides: the right side was treated with Mesobotox for three sessions once monthly and followed up 3 months later after the last session and the left side was treated with dermapen (microneedling) for six sessions every 2 weeks and followed up 3 months after the last session. The feasibility, safety, and efficacy of both lines of treatment were studied.
Results
This study included 20 patients with atrophic post‐acne scars. They were 13 females (65%) and 7 males (35%), and their ages ranged between 15 and 35 years with a mean ± sd age of 24.40 ± 5.90 based on the significant improvement between S1 (baseline acne scar score) and both S2 (acne scar score at end of treatment) and S3 (acne scar score 3 months after the last session). Microneedling showed also similar results to Mesobotox.
Conclusions
Microbotox and microneedling were effective and tolerated.
Premature ejaculation (PE) is defined as short ejaculatory latency and lack of control upon ejaculation. Vitamin B12 is an essential and vitally important in DNA synthesis, nervous system functions and regulation of numerous other B12-dependent metabolic processes. vitamin B12 plays integral roles in the metabolism of NO, homo cysteine and 5-HT. The aim of our study was to investigate whether a relationship exists between serum vitamin B12 levels and presence of PE. It was a cross-section, case-control study included 60 subjects divided into 2 groups. Patients group included 30 PE patients, and control group included 30 healthy matched subjects. The participants completed questionnaires concerning sexual health status including Premature Ejaculation Diagnostic Tool (PEDT) and International Index of Erectile Function (IIEF). Serum vitamin B12 was analyzed using ELISA technique. The mean IELT values in the PE group were significantly lower than in the control group (p < .0001). PE patients reported significantly lower vitamin B12 levels compared with the controls (p < .001). Patients with PE had lower vitamin B12 levels compared with normal men with a negative significant correlation between serum vitamin B12 level and PEDT score.
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