SMOKING EFFECTS ON THE SKIN~ Muh.Dali Amiruddin by: Dr. Ezyan

Premature aging (photoaging)Smoking causes wrinkles, dryness and discoloration of the skin color is called smoker's faceUV rays, age, body weight changes and social status do not contribute to the change in smoker's faceCrow's feet is exacerbated by smoking >>White persons >>> black personsEffects of smoking on the skinPremature aging (photoaging)Inhibit wound healing after surgery the skin (skin flap and graft)skin malignancyIncreased incidence of certain diseasesChanges in temperature Carbonmonoxide (CO)CO gases produced by carsCO attaches to the Hemoglobin 203x stronger than 02 asphyxiaCO takes 6-24 hours to leave the blood vessels Nicotine Nicotine strong insecticides and toxic to the nerves.In 4 of cigarettes contains 50 mg nicotine that can kill a person in minutes when injected directlyNicotine in cigarette reaches the brain in just 7 seconds brain cell stimulation and inhibition of nerve impulses arise addiction

Wrinkles are also associated with genetic and vascular damage caused by chemicals from cigarette Smoking MMP synthesis degradation of collagen Premature facial wrinkling Elastin fibers in smokers and non-smokers but the area with the same amount of elastin fibers smokers >>>> Microcirculation experiencing constricting effects of smoking in the long term Smoking causes wrinkles so skin looks unattractive and look older Decrease in capillary blood flow and arterial local dermal ischemia more toxic substances on the tissue

Non-smokersmoker

Inhibit wound healing

Smoking decreases the flow of capillaries and arteries in the skin

damage the connective tissue is important in skin integrity

wound healing is slow

Skin microvascular run into constriction caused by smoking Nicotine increases vasopressin pd blood vasoconstriction of blood vessels ischemia decrease tissue oxygenation local dermal Smoking also increases karboksihemoglobin, increased platelet aggregation, increased blood viscosity, reduce collagen deposition delayed wound healing 1 pack / day 3x necrosis than nonsmokers 2 pack / day 6x necrosis than nonsmokers Stop smoking one week before and after skin surgery Smoking affects the wound healing process in the skin, especially after the flap and graft

Skin Malignancy

Tar that are used on the surface of the highway known active makes epidermal oncogenesis in mice

Smoking has adverse effects on the immune system cause immunosuppression so that smokers have more frequent to metastases Survival rate is lower than non-smokers >>> >>> Dying than nonsmokers

Smokers have a higher risk SCC Relationship of smoking and BCC reported in tumors> 1cm

Increased incidence of certain diseasesTemperature change caused by smokingElectronic cigarette

Psorasis incidents increased in smokers, although the relationship is still unclearBefore 320-350CAfter 19min 320-340CAfter 32min 320-330CAfter 42min 340CAfter 66min 350C

It doesnt Contain tar and carcinogenic substances No harmful to the passive smoking Reduce costs by 80% annually There is no fire dangers

Conclusion Smoking causes wrinkles, dryness and discoloration of the skin color is called smoker's face Smoking has adverse effects on the immune system Psorasis incidents increased in smokers Smokers have a higher risk SCC