Cosmetic Purposes Research Articles

Recombinant human epidermal growth factor-loaded liposomes and transferosomes for dermal delivery: Development, characterization, and cytotoxicity evaluation.

Recombinant human epidermal growth factor (rhEGF) is widely utilized as an antiaging compound in wound-healing therapies and cosmetic purposes. However, topical administration of rhEGF has limited treatment outcomes because of its poor percutaneous penetration and rapid proteinase degradation. To overcome these obstacles, this study aims to develop and characterize rhEGF-containing conventional liposomes (rhEGF-CLs) and transferosomes (rhEGF-TFs) as efficient dermal carriers. Physicochemical characterization such as particle size, zeta potential (ZP), morphology, encapsulation efficiency (EE%), and release properties of nanocarriers as well as in vitro cytotoxicity in human dermal fibroblast (HDF) and human embryonic kidney (HEK293) cell lines were investigated. rhEGF-TFs at the rhEGF concentration ranging from 0.05 to 1.0 μg/mL were chosen as the optimum formulation due to the desired release profile, acceptable EE%, optimal cell proliferation, and minimal cytotoxicity compared to the control and free rhEGF. However, higher concentrations caused a decrease in cell viability. The ratio 20:80 of Tween 80 to lipid was optimal for rhEGF-TFs-2, which had an average diameter of 233.23 ± 2.64 nm, polydispersity index of 0.33 ± 0.05, ZP of -15.46 ± 0.29 mV, and EE% of 60.50 ± 1.91. The formulations remained stable at 5°C for at least 1 month. TEM and SEM microscopy revealed that rhEGF-TFs-2 had a regular shape and unilamellar structure. In vitro drug release studies confirmed the superiority of rhEGF-TFs-2 in terms of optimal cumulative release of rhEGF approximately 82% within 24 h. Franz diffusion cell study showed higher rhEGF-TFs-2 skin permeation compared to free rhEGF solution. Taken together, we concluded that rhEGF-TFs can be used as a promising formulation for wound healing and skin regeneration products.

Neuromodulators in Men.

Botulinum toxin treatment is gaining popularity among men for cosmetic purposes driven by workplace competition and a desire for confidence and youthfulness. Because of the unique features of male facial anatomy, careful consideration is necessary during assessment and treatment execution. The peer-reviewed literature on male facial anatomy in relation to neuromodulator treatment was analyzed with a particular emphasis on studies involving male subjects and the use of botulinum toxin type A. Anatomic differences in muscle mass and contraction patterns between men and women help guide treatment. Men appear to require higher doses for effective treatment of facial wrinkles and, in the case of glabellar lines, often require double the standard dose for women. Treatment of the frontalis muscle in men, responsible for forehead creases, requires precise dosage and placement to avoid brow ptosis. The lateral canthal wrinkles are often the first area that men seek consultation for. Although FDA approval for lower face regions is lacking, off-label use can still be considered. Successful botulinum toxin treatment in men necessitates understanding facial anatomy, customized treatment plans, and appropriate dosing. Further research is warranted to refine protocols and enhance outcomes for male patients.

A rare case report of Maffucci syndrome in a 16-year-old girl

Maffucci syndrome is an extremely rare, sporadic disorder that primarily affects bone and skin. It is characterized by multiple enchondromas, especially in the bones of hands and feet, with cutaneous hemangiomas. Treatment consists of orthopedic and surgical intervention to minimize deformities and for cosmetic purposes. Careful surveillance for both skeletal and non-skeletal malignancies is needed. We report here a case of Maffucci syndrome in a 16-year-old girl.

Regenerative Cosmetics: Skin Tissue Engineering for Anti-Aging, Repair, and Hair Restoration

The quest for youthful, healthy skin and full, vibrant hair has long been a driving force in the dermocosmetics field. However, traditional approaches often struggle to address the underlying causes of aging, damage, and hair loss. Regenerative cosmetics powered by skin tissue engineering offer a transformative alternative. This review explores the emerging field of using engineered skin tissues for cosmetic purposes, focusing specifically on their potential for anti-aging, repair, and hair restoration applications. We discuss how these technologies aim to rejuvenate aging skin by promoting collagen production, reducing wrinkles, and improving overall skin function. Additionally, the use of engineered skin for wound healing and scar reduction is examined, highlighting their potential to improve the appearance and functionality of damaged skin. Finally, we advance the exciting prospects of utilizing skin tissue engineering techniques to regenerate hair follicles, potentially offering solutions for hair loss and promoting denser hair growth.

Clinical Conditions Targeted by OnabotulinumtoxinA in Different Ways in Medicine.

OnabotulinumtoxinA (BT-A) is used in different medical fields for its beneficial effects. BT-A, a toxin originally produced by the bacterium Clostridium botulinum, is widely known for its ability to temporarily paralyze muscles by blocking the release of acetylcholine, a neurotransmitter involved in muscle contraction. The literature continually reports new hypotheses regarding potential applications that do not consider blockade of acetylcholine release at the neuromuscular junction as a common pathway. In this opinion article, it is our aim to investigate the different pathway targets of BT-A in different medical applications. First of all, the acetylcholine effect of BT-A is used to reduce wrinkles for cosmetic purposes, in the treatment of urological problems, excessive sweating, temporomandibular joint disorders, obesity, migraine, spasticity in neurological diseases, and in various cases of muscle overactivity such as cervical dystonia, blepharospasm, and essential head tremor. In another potential pathway, glutamate A, CGRP, and substance P are targeted for pain inhibition with BT-A application in conditions such as migraine, trigeminal neuralgia, neuropathic pain, and myofascial pain syndrome. On the other hand, as a mechanism different from acetylcholine and pain mediators, BT-A is used in the treatment of hair loss by increasing oxygenation and targeting transforming growth factor-beta 1 cells. In addition, the effect of BT-A on the apoptosis of cancer cells is also known and is being developed. The benefits of BT-A applied in different doses to different regions for different medical purposes are shown in literature studies, and it is also emphasized in those studies that repeating the applications increases the benefits in the long term. The use of BT-A continues to expand as researchers discover new potential therapeutic uses for this versatile toxin.

A Mixed Research on Determining the Edible Wild Herbs (EWH) Consumption of Local People in Şırnak

The aim of this study is to determine the edible wild herbs (EWH) grown in Şırnak province and to reveal the consumption habits of local people towards EWH. Within the framework of this purpose, the research was conducted using the exploratory design of the mixed method. Face-to-face interviews (n:42) and questionnaire techniques (n:276) were used as data collection tools. Snowball sampling method was preferred to collect qualitative data and convenience sampling was preferred to collect quantitative data. The data were evaluated by content analysis and descriptive statistics. In the research, answers to questions such as the names by which herbs are known locally, storage conditions, which diseases they are good for, how often they are used and how they are consumed, and how they are consumed were sought. According to the findings of the research, 75 different edible herbs that local people utilize as edible wild herbs were identified. Apart from food, these herbs are also used for disease treatment, ornamental, cosmetic and chemical purposes. The reasons for consuming herbs are mostly delicious and healthy. It was determined that they are mostly used for breakfast, salads, pickles and spices. As a result of these findings, data on the consumption habits of edible herbs in Şırnak were put forward and various suggestions were presented.

Anatomy of the Buccal Space: Surgical and Radiological Perspectives.

Among the anatomical spaces in the head and neck area, the buccal space has often been studied in dental/oral surgery and cosmetic surgery because it contains the facial vessels, mandibular and facial nerves, and adipose tissue called the buccal fat pad. In addition, as the space can communicate with other spaces, it can be significant in infections. Although the anatomy of the buccal space has been reported in several studies, there have been discrepancies concerning its boundaries, and its communications have often been overlooked. The aim of this review is to examine the anatomy of buccal space including its boundaries, contents, continuity with adjacent spaces, and clinical significance. A literature review was performed on Google Scholar and PubMed. The literature has depicted the anterior, medial, and lateral boundaries more or less consistently, but descriptions of the posterior, superior, and inferior borders are controversial. The buccal space includes the facial arteries, veins, facial nerves, parotid duct, and lymph nodes, which can be described differently depending on definitions and the extent of the space. As it communicates with other anatomical spaces including the masticatory space, it can be a reservoir and a channel for infections and tumors. Buccal fat pads have various clinical applications, from a candidate for flap reconstruction to a target for removal for cosmetic purposes. This review will help understand the anatomy of the buccal space including its boundaries, residing structures, and communication with other spaces from surgical and radiological perspectives.

Vat photopolymerization printing of functionalized hydrogels on commercial contact lenses

Contact lenses are widely used for vision correction and cosmetic purposes. Smart contact lenses offer further opportunities as functionalized non-invasive devices capable of simultaneous vision correction, real-time health monitoring and patient specific drug delivery. Herein, a low-cost vat photopolymerization technique is developed for directly 3D printing functionalized structures on commercially available contact lenses. The process enables controlled deposition of functionalized hydrogels, in customizable patterns, on the commercial contact lens surface with negligible optical losses. Multi-functional contact lenses can also be 3D printed with multiple materials deposited at different regions of the contact lens. Herein, the functionalities of colour blindness correction and real-time UV monitoring are demonstrated, by employing three suitable dyes incorporated into 2-hydroxyethyl methacrylate (HEMA) hydrogel structures printed on contact lenses. The results suggest that 3D printing can pave the way towards simple production of low-cost patient specific smart contact lenses.

Lipid Biomimetic Models as Simple Yet Complex Tools to Predict Skin Permeation and Drug-Membrane Biophysical Interactions.

The barrier function of the skin is primarily determined by its outermost layer, the Stratum Corneum (SC). The SC consists of corneocytes embedded in a lipid matrix composed mainly of ceramides, cholesterol, and free fatty acids in equimolar proportions and is organised in a complex lamellar structure with different periodicities and lateral packings. This matrix provides a diffusion pathway across the SC for bioactive compounds that are administered to the skin. In this regard, and as the skin administration route has grown in popularity, there has been an increase in the use of lipid mixtures that closely resemble the SC lipid matrix, either for a deeper biophysical understanding or for pharmaceutical and cosmetic purposes. This review focuses on a systematic analysis of the main outcomes of using lipid mixtures as SC lipid matrix models for pharmaceutical and cosmetic purposes. Thus, a methodical evaluation of the main outcomes based on the SC structure is performed, as well as the main recent developments in finding suitable new in vitro tools for permeation testing based on lipid models.

Co-occurrence of posterior chest wall pilonidal sinus with melanocytic nevus: a challenging presentation: a case report

IntroductionTo date, only a limited number of case reports have documented the co-occurrence of PNS and melanocytic nevus in the medical literature. This study aims to report an exceptionally rare case of posterior chest wall PNS in conjunction with a melanocytic nevus.Case presentationA 46-year-old female presented with a long-standing black lesion on her left upper posterior chest wall, that had become painful in the two months prior to presentation. There was a painful, dark blue, non-erythematous, and non-tender nodule on the left upper posterior chest wall. Based on the patient’s desire for cosmetic purposes, the lesion was excised totally with primary closure under local anaesthesia. Histopathological examination revealed intradermal melanocytic nevus with inflamed pilonidal sinus.DiscussionThe rarity of posterior chest wall PNS associated with nevi poses unique diagnostic and therapeutic challenges for clinicians. The distinct anatomical location, different from the conventional region, and the rare association between the two conditions may delay accurate diagnosis and result in mismanagement or inappropriate interventions.ConclusionThe posterior chest wall PNS is another type of atypical PNS that is extremely rare. The association between PNS and blue nevus is a fascinating medical finding that deserves further investigation.

Embracing the Versatility of Botulinum Neurotoxins in Conventional and New Therapeutic Applications.

Botulinum neurotoxins (BoNTs) have been used for almost half a century in the treatment of excessive muscle contractility. BoNTs are routinely used to treat movement disorders such as cervical dystonia, spastic conditions, blepharospasm, and hyperhidrosis, as well as for cosmetic purposes. In addition to the conventional indications, the use of BoNTs to reduce pain has gained increased recognition, giving rise to an increasing number of indications in disorders associated with chronic pain. Furthermore, BoNT-derived formulations are benefiting a much wider range of patients suffering from overactive bladder, erectile dysfunction, arthropathy, neuropathic pain, and cancer. BoNTs are categorised into seven toxinotypes, two of which are in clinical use, and each toxinotype is divided into multiple subtypes. With the development of bioinformatic tools, new BoNT-like toxins have been identified in non-Clostridial organisms. In addition to the expanding indications of existing formulations, the rich variety of toxinotypes or subtypes in the wild-type BoNTs associated with new BoNT-like toxins expand the BoNT superfamily, forming the basis on which to develop new BoNT-based therapeutics as well as research tools. An overview of the diversity of the BoNT family along with their conventional therapeutic uses is presented in this review followed by the engineering and formulation opportunities opening avenues in therapy.

Guggul: Potency and Mechanistic Insight for Tremendous Therapeutic Benefit

Abstract: Commiphoramukul being a treasure to phytochemicals, are of great medicinal value. The plant, composed of flavonoids, phytosterols and terpenes, possesses antimicrobial, anti-inflammatory, antioxidant and anticancerous properties with wide therapeutic activities. The active ingredient in plants include ketosteroids, E and Z guggulsterone, ellagic acid, myrrhanols B, myrrhanonesA, myrrhanoes B, guggulsterone-I, guggulsterone-II, guggulsterone-III. Various phytochemicals in plants play a very vital role in treating acute to chronic diseases, such as rheumatoid arthritis, atherosclerosis, inflammatory gastric disorders, hyperlipidemia, cancer, ageing, and for cosmetic purposes too. The present chapter aims to update mankind with the profound phytochemical constituents present in plants and their pharmacological application.

The Use of Over-the-Counter (OTC) Skin-Lightening Agents and Their Side Effects Among the Residents of Saudi Arabia: A Cross-Sectional Study.

Over-the-counter (OTC) skin-lightening agents are topical products in the form of lotions, creams, oils, soaps, and serums designed to alter skin pigmentation primarily for cosmetic purposes. The growing misuse and overuse of these products has become a serious public health concern due to their potential adverse effects on human health and their quality of life. This study was cross-sectional in nature, adopting a convenience sampling technique utilizing data from a sample of 408 residents of Arar, Northern Saudi Arabia. The participants completed online questionnaires,distributed through social media means like Telegram, WhatsApp, and Facebook ensuring anonymity. Data was analyzed using SPSS Version 27 to obtain important insights. The sample of the study had a predominance of females 304 (74.5%) while only 104 (25.5%) were males. A substantial proportion of 170 (41.7%) of the participants were aged between 20 and 35 years with more than half (229 (56.2%)) being single and the majority (266 (65.2%))having university and above level of education. More than half (259 (63.5%)) of them indicated that they had bought skin-lightening products without a doctor's prescription. Twenty-eight (10.8%) of the participants had been diagnosed with a condition that increased skin pigmentation before with a substantial proportion (11 (39.3%)) noting that the product contained hydroquinone cream ingredients. The overall prevalence of OTCskin-lightening agents among the participants of Arar, Northern Saudi Arabia was 63.5% (259/408). The study found a significantly high prevalence of use of OTCskin-lightening agents among participants aged 20-35 years (87 (71.3%)) (p=0.031) as well as those who had a university level of education and above (129 (71.3%)) (p=0.001). The findings show that 39 (40.6%) of the female respondents and eight (30.8%) of the male participants experienced adverse effects associated with irritation and redness. Overall, the study found a considerably high prevalence of the use of OTCskin-lightening agents among the participants of Arar, Northern Saudi Arabia. The use of OTCskin-lightening agents was significantly greater among female participants than male participants. The commonly used products contained hydroquinone cream ingredients, which presented adverse effects and complications associated with irritation, redness, and darkening of the skin. It is imperative to launch targeted public awareness campaigns to educate the community, especially women, about the risks associated with OTC skin-lightening agents, promote safer alternatives, and advocate for stricter regulation and control over the sale and distribution of skin-lightening products containing harmful ingredients.

Current state of research in the field of dosage forms containing viburnum (Review article)

The new age of studying the therapeutic and prophylactic properties and molecular mechanisms of action of herbal medicines that do not contain toxic and potent substances has opened up exciting prospects for their use for etiopathogenetic therapy. The results of numerous studies indicate that botanicals act as multi-target agents by modulating inflammatory, apoptotic, and other signaling pathways in multiple steps, highlighting the promising role of botanicals in achieving new and valuable effects. It should also be emphasized that one of the most important advantages and benefits of herbal medicine is the implementation of an individual approach to each patient. Early applied pathogenetic herbal medicine can stop the progression and chronicity of diseases. Viburnum is not last on the list of medicinal plant materials. Viburnum is an almost universal antibacterial agent of natural origin. Recipes with its use have found application in traditional medicine and received scientific recognition. Viburnum is a case where treatment can be not only effective, but also very tasty. It is used to prepare medicinal forms, delicious purees, compotes, tinctures, and kissels. Purpose of the work: to summarize the available literature data on dosage forms containing viburnum. Materials and methods. We conducted a literature review of scientific papers over the last 20 years in the resources of the PubMed and eLIBRARY search engines using the key words below. For this meta-analysis, we used articles containing the evidence base on the most current issues relating to medicinal forms of viburnum. Results. It has been established that the range of medicines from viburnum is limited to viburnum fruits, tincture, extract, glucose and fructose syrups, the Kalinaktiv syrup, and the Cardionorm syrup. Research is being conducted on the development of a gel with a wound-healing effect for use in dermatology, a cream for cosmetic purposes, and a liquid adjusted dosage form with an antipyretic effect (Kadilaeva Z.A. et al., 2023). Conclusion. The result of the research has been the establishment of prospects for expanding the range of medicinal products utilizing viburnum fruits.

Influence of cellulolytic preparation on the productive qualities of snails of the Helix Aspersa Maxima species

Heliciculture is a branch of animal husbandry that deals with cultivation and using edible terrestrial snails for food and cosmetic purposes. This type of animal husbandry has an advantage over others in terms of simplicity of technology, as snails do not require complex technical equipment and care. In addition, they are unpretentious in feeding and resistant to diseases. Heliceculture has signifcant potential for development in Ukraine, as there is already considerable demand for snails in the food and cosmetics market. This industry is also developing rapidly and becoming increasingly popular among farmers and businessmen worldwide. At the same time, achieving success in snail farming requires specifc knowledge and skills. For example, it is essential to choose a suitable cultivation method, ensure optimal keeping and feeding conditions, and adhere to the standards of product storage and processing. It is also worth considering the specifcs of the legislation regulating the breeding and circulation of snails and the possible risks associated with pollution and animal diseases. An essential aspect of the development of helicopter culture is research and development to improve the quality and quantity of products, as well as the technology for reproduction and keeping snails. Such research should help improve efciency and make the industry more competitive. Exploring opportunities to improve the efciency of nutrient use in snail feed can signifcantly increase the proftability of production. Enzyme preparations are widely used in heliceculture to enhance the digestion of complex compounds, reduce the negative impact of anti-nutrients, and improve feed conversion. The use of such products in heliculture is reasonable and can have a positive impact on production efciency. The direction of complex feeding in heliceculture has not been studied much, and the influence of this cellulolytic drug on the productive qualities of Helix Aspersa Maxima species snails has yet to be clarifed. The results obtained during the study can substantiate the positive aspects of using special preparations to increase snail cultivation efciency and the use of nutrients in the diet. The study was conducted to investigate the effect of cellulosolytic enzyme preparation «AGROCELL» on the productivity of snails of the species Helix Aspersa Maxima. The results of the work showed that the addition of the enzyme preparation «AGROCELL» to the diet increases the absolute increase in live weight of snails by 1.2 g and the chain weight by 0.1-1.1 g. Key words: snails, industry, enzyme preparation, productivity, feeding, technology, cultivation.

Edible superhydrophobic coating derived from triterpenoid maslinic acid for bacterial antifouling and enhanced fresh produce food safety

This study introduces an edible superhydrophobic coating for fresh produce derived from triterpenoid maslinic acid (MA), a natural plant compound renowned for its health benefits including antioxidant, antitumor, and anti-inflammatory properties. The study takes advantage of the amphiphilic nature of MA, forming vesicles in aqueous media. Upon deposition onto the substrate, these vesicles contribute to surface roughness, resulting in a nanotextured morphology with nonpolar outer surface. Static water contact angle of MA coatings was 151.6 ± 0.8°, indicating superhydrophobic behavior exhibiting promising bacterial antifouling characteristics with 98.6%, 96.7% and 97.5% reduction against E. coli, Salmonella and Listeria, respectively, compared to uncoated surfaces (i.e., onion skin). The development of edible, superhydrophobic coatings for application on fresh produce advances current fruit and vegetable wax technologies, mostly used for cosmetic and physical barrier purposes rather than more functional ones. Using assembled MA coatings combining superhydrophobicity and health benefits, emerges as an novel and sustainable solution for advancing both fresh produce safety and human well-being.

Production of Anthocyanin-Rich Red Rose Petal Extract by Enzymatic Maceration

The use of enzymes to hydrolyze the plant cell matrix is a method known for extracting bioactive substances. The current work used this strategy to produce a rose petal extract rich in anthocyanins that is stable in the presence of marine polysaccharides and has a high antioxidant activity. The process evaluation was carried out sequentially, initially comparing water, ethanol, and their mixtures to anthocyanins extracted in the presence or absence of enzymes. Then, a multi-objective desirability function optimized experimental conditions such as solvent and enzyme concentrations. This study is the first report describing the use of a statistical tool, the central composite rotatable design (CCRD), to optimize anthocyanin extraction from rose petals. This method obtained a maximum extraction of 9.99 mg/g of phenols. The stability of the rose petal extract when using marine polysaccharides retained 60% of the anthocyanins over 28 days without deterioration when protected from sunlight but was practically degraded upon exposure to sunlight. The rose petal extract demonstrated a very high antioxidant capacity of 3.19 μg/mL, close to the literature data for citrus compounds, known to be high in antioxidant compounds for cosmetic food purposes.

BOTOX’s Mechanism, Diversity Considerations, and Therapeutic Potential in Cosmetic, Medical, and Dental Practice

This review provides a comprehensive overview of the societal pressures of maintaining a youthful appearance and the increasing popularity of BOTOX injections for aesthetic purposes. It discusses the motivation behind BOTOX use for personal psychological gains, partly driven by social media pressure and societal expectations. Ethical considerations and potential psychosocial consequences of cosmetic BOTOX are also addressed.The article delves into the explanation of what BOTOX is and how it works, emphasizing its use for cosmetic and medical purposes, such as treating spasmodic dysphonia and hyperhidrosis. When used appropriately, it highlights the rarity of complications and adverse effects associated with BOTOX. BOTOX’s historical use and development, from its initial medical applications to its widespread adoption in cosmetic procedures, are outlined. Further explored is the prevalence of BOTOX use among different socioeconomic classes, races/ethnicities, ages, and genders, highlighting disparities and emerging trends. It summarizes the effectiveness and safety of BOTOX injections for facial wrinkles and its non-cosmetic uses (e.g., treating migraines, hyperhidrosis, and pain management). The review describes BOTOX’s uses in dentistry, including its therapeutic benefits and safety considerations.It also discusses the possible therapeutic advantages of BOTOX injections in managing psychological conditions, including depression, anxiety, and body dysmorphic disorder (BDD). The diagnostic applications of BOTOX and its mechanism of action are briefly explained.The article concludes with a summary of BOTOX’s beneficial and adverse effects and the constraints on access to and use of BOTOX treatments. It acknowledges the limitations of BOTOX research and the need for further investigation to address these limitations.Abbreviations: BDD: Body Dysmorphic Disorder; FDA: U.S. Food and Drug Administration; QoL: Quality of Life; ROM: Range of Motion; SES: Socioeconomic Status; SNAP-25: Synaptosomal-Associated Protein 25; TMD: Temporomandibular Joint Disorder

Beyond the aesthetic purposes of the botilinum toxin A; The dry eye syndrome with essential blepharospasm

Botulinum A toxin injection is a method used in clinical conditions such as blepharospasm, hemifacial spasm, strabismus, migraine, hyperhidrosis, torticollis and migraine, in addition to its use for cosmetic purposes. It works by reducing the release of acetylcholine at the neuromuscular junction, and as a result, a type of paralysis occurs in the applied area for a while. Botox applied around the tear collection ducts can provide dual benefits by reducing tear loss and relieving blepharospasm. In this study, botulinum toxin A injection was applied to 33 patients with essential blepharospasm and also dry eye syndrome. Schirmer test measurement, tear breakup time (BUT) and rose bengal disappearance test were measured before the injection and at the 1st week, 1st month and 3rd month after the injection. At the same time, sampling was performed for impression cytology before the injection and at the 1st and 3rd months after the injection. Symptoms and signs of blepharospasm decreased in all patients treated with botulinum toxin A. However, the patients' Schirmer test measurements were measured immediately one week after the injection and decreased in other measurements. Tear breakout time (BUT) increased in the 1st week after the injection but decreased in the 4th week measurements. Rose bengal disappearance score increased in the 1st week after injection and returned to its previous state in the 4th week. As a result of impression cytology, no change in conjunctival cell morphology was observed before and after injection. In conclusion, essential blepharospasm and dry eye are two independent diseases, but they can occur simultaneously. Botulinum toxin A injection is a very effective method in the treatment of blepharospasm. Although it has been stated in different studies that it has a positive effect on dry eye syndrome, it was observed that it did not have such an effect in our study.

Henna Tattoo: From Cosmetic Purposes to Dermatological Reactions

Abstract Introduction: Henna, commonly used as a hair dye, is also used for temporary tattoos. It is commonly mixed with para-phenylenediamine (PPD) to enhance color intensity, which may induce cutaneous sensitization. Aim: This study aimed to describe the clinicodemographic features of patients with dermatological reactions to henna tattoos. Materials and Methods: This cross-sectional study, included patients with dermatological reactions to henna tattoos. All the patients were subjected to entire medical history including clinicodemographic data and general and dermatological examinations. Results: This study included 17 female patients with a mean age of 26.88 ± 6.6 years. Of these 17 patients; 41.2% were suburban residents, 58.8% were housewives, 70.6% were married, and 47.1% were middle socioeconomic class and 53% had type IV Fitzpatrick skin. All used black color and commercial henna for cosmetic purposes, 41.2% used market henna, and 35.3% used coiffeur henna. Many (70.6%) had localized reactions with 23.5% presenting with reaction of hands, 64.7% had acute eczematous reactions, and all had a progressive course. The mean duration of the reaction was 6.76 ± 2.6 days. The mean latency time of the reaction was 2.7 ± 0.85 days. Conclusion: This study concluded that public awareness of possible cutaneous reactions to henna tattoos should be increased. The health authority legislation should control the use of black henna to minimize the consequences.