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When performed by experienced surgeons in expert centers, discoid excision is considered safe, with postoperative complication rates of 24.5% (mostly minor Clavien-Dindo grades I-II) and no severe complications like rectovaginal fistula or anastomotic leakage reported (60)

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Vitamin B12, on the other hand, is beneficial for the skin because it helps make collagen and deliver oxygen

Initial Treatment Phase Most patients require: 6 to 10 sessions 1 to 2 sessions weekly Maintenance Phase After achieving desired results: Maintenance injections every 48 weeks Duration of Effects Results may last several months depending on: Sun exposure Lifestyle habits Skincare routine Smoking status Diet and hydration Proper sun protection significantly extends visible results