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What Smoking Does To Your Skin

Blog post once again contributed by the lovely Dr. Ko Na Young of Renewme Skin Clinic Hwagok branch. Original post in Korean can be read by clicking here.


Ever since the price of cigarettes doubled this year, a lot of people have attempted to quit. This is still not enough, though. We all know that smoking is bad for you, but many are probably not aware that smoking can be bad for the skin as well. When patients come for consultation and explain their concerns about dull skin, fine lines, adult acne, hair loss, psoriasis and so on, I make sure to check whether they are smokers or not.

Smoking can cause the skin to age, making it dry and thin. It aggravates acne and psoriasis, triggers hair loss and delays wound recovery.


Aging Skin
For women especially, smoking induces photoaging, which is skin aging caused by exposure to UV rays, by deepening the skin layers of which UV rays can originally reach. Furthermore, smoking decreases and decomposes collagen generation, furthering the aging process.

Dry, Atrophied Skin
Smoking lowers the moisture content in the outer layers of the skin, and decreases estrogen in the skin, causing dryness and atrophy.

Acne
It has been reported that compared to non-smokers, smokers tend to have more acne, and severe acne at that, too. From my own experience, I've noticed that smokers have more inflammatory acne, and show a slower recovery rate.

Psoriasis
Psoriasis is also correlated to smoking. Smoking increases the attack rate of psoriasis, aggravates symptoms, and interferes with treatment progress.

Atopic Dermatitis
Recent results have shown that children who live with smokers are likely to have more severe symptoms from atopic dermatitis. Even if the smoking is not done inside the house, the components left on clothes and such can still affect the child. That is why when I treat children with dermatitis, I ask if there are any smokers in the family and explain the risks of what it can do to children.

Hair Loss
A study from England has shown that smoking men are twice as likely to become bald before their 50's, compared to non-smokers. The nicotine in cigarettes can temporarily contract blood vessels that provide nutrients and oxygen to hair follicles. Long time smoking can therefore trigger hair loss more quickly.

Wound Recovery
Because nicotine hinders blood circulation, chances of wound recovery or dermal necrosis are higher than non-smoking patients. This is why smoking is prohibited for a period of time before and after surgeries such as fat grafting, hair transplantation, sweat gland suction, and even non-surgical procedures such as dermal filler.

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