“…Ethanol and propylene glycol/oleic acid are the main compounds for the penetration of transautosomes. Ethanol acts on corneodesmosomes and causes the release of corneocytes, thus making it easier to penetrate the skin layers, while penetration enhancers (surfactants or various agents) help to remove the barrier of the stratum corneum and loosen the dense protein structure and prepare the skin for more permeability makes drugs and vesicles more porous [ [94] , [95] , [96] , [97] ]. Probably, the synergy between ethanol and surfactant present in Transethosomes causes small size, excellent flexibility, and better permeability to the skin [ 84 , 98 ] and this vesicle can effectively pass through narrow intercellular pathways [ 40 ] and drug releases into the blood circulation, indicating a systemic effects.…”