Is it true that smoking causes wrinkles?

Credit: WebMD

Does anyone actually believe that the skin is exempt from the damage that smoking causes to every other part of the body?

In the LifeHacker article below, some mention is made of e-cigarettes – implication being that they represent a way to avoid the damage to the skin caused by smoking. Point to note – it is the nicotine in cigarettes that causes skin damage (see the Mayo Clinic article below). Thus, while e-cigarettes are probably less of a threat to health than tobacco cigarettes, & may be of use in quitting, they are not a way to avoid damage to the skin.

http://www.lifehacker.com.au/2016/04/ask-lh-will-smoking-really-ruin-my-good-looks/?utm_source=Lifehacker+Australia&utm_campaign=f25a95fced-lifehacker_2016_05_05&utm_medium=email&utm_term=0_9fc709844c-f25a95fced-278953185

http://www.mayoclinic.org/healthy-lifestyle/quit-smoking/expert-answers/smoking/faq-20058153/ smoker smoking hot cigarettes age you prematurely will smoking really ruin my good looks whiten teeth professionally problem smoking is bad for me quit friends most of them are smokers socially easy inexpensive way to quit Miss Marlboro smoking stupid filthy expensive dangerous habit everyone around you at risk allow smoking enclosed public spaces federal law health of hospitality workers patrons convenience of smokers it’s good that you want to quit smoking is a self-destructive waste of money benefit social tough anti-smoking legislation improving your overall health reducing the risk of cancer giving up smoking definitely help to maintain your good looks recent study compared appearance 79 identical twins did and didn’t smoke graded for wrinkles Lemperle Assessment Scale twins’ environmental aging factors controlled Mann-Whitney test sunscreen use alcohol intake perceived work stress smoking twins looked significantly older identical genetic makeup smoking twins compared nonsmoking counterparts worse scores upper eyelid skin redundancy lower lid bags malar bags nasolabial folds upper lip wrinkles lower lip vermillion wrinkles jowls lower lid hyperpigmentation in the smoking group statistical significance transverse forehead wrinkles glabellar wrinkles crow’s feet lower lip lines accentuated by puckering statistically significant differences in scores greater 5 years’ difference in smoking duration twins who had smoked longer had worse scores lower lid bags malar bags lower lip vermillion wrinkles smoking affects middle lower thirds of the face cause noticeable differences in facial ageing make you look old before your time beauty youthfulness smoking hot extra wrinkles around the eyes look younger health to consider tobacco smoke toxic chemicals carbon monoxide cyanide carcinogens smoking one of the leading causes of preventable death globally female smokers lose an average 14.5 years total life expectancy non-smokers lung throat mouth cancer linked to heart attacks strokes chronic obstructive pulmonary disease emphysema fatal diseases quitting is a smart choice cold turkey required discipline willpower cut down in a consistent limited way bad habits reduce the habit reduce the variability in the habit effort toward self-control decrease in bad habits over time limiting cigarettes electronic cigarettes e-cigarettes helping people quit safe lungs tobacco smoke apps help quit smoking Quitbuddy Australian National Preventive Health Agency set goals highlight danger times read messages of encouragement friends and family hypnotherapist quitting tips /