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However, some theories include: changes in the elastic fibers of the skin vasoconstriction, which is the narrowing of blood vessels, reducing blood supply to the skin reduced moisture in the skin Smokers wrinkles can be particularly noticeable around the mouth, as smoking encourages constant puckering of the lips when taking a drag of a cigarette

Research has linked smoking conventional cigarettes 17 and the use of EVCs 18 to metabolic syndrome, providing a rationale for investigating HTPs as well