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SMOKING EFFECTS ON THE SKIN~ Muh.

Dali Amiruddin
Dr. Ezyan
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 directly
Nicotine in cigarette reaches the
brain in just 7 seconds brain cell
stimulation and inhibition of nerve
impulses arise addiction
Carbonmonoxide (CO)
CO gases produced by cars
CO attaches to the Hemoglobin
203x stronger than 02
asphyxia
CO takes 6-24 hours to leave the
blood vessels
Effects of smoking on the skin
Premature aging (photoaging)
Inhibit wound healing after surgery the skin (skin flap
and graft)
skin malignancy
Increased incidence of certain diseases
Changes in temperature

Premature aging (photoaging)


Smoking causes wrinkles, dryness
and discoloration of the skin color is
called smoker's face
UV rays, age, body weight changes
and social status do not contribute to
the change in smoker's face
Crow's feet is exacerbated by
smoking
>>
White persons >>> black persons

by:

Wrinkles are also associated


with genetic and vascular
damage caused by chemicals
from cigarette
Smoking MMP synthesis
degradation of collagen
Premature facial wrinkling

Smoking decreases the flow of


capillaries and arteries in the skin

damage the connective tissue is


important in skin integrity

wound healing is
slow

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

Nonsmoker
Inhibit wound healing
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

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

smoker

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

Tar that are used on the


surface of the highway known
active makes epidermal
oncogenesis in mice

Increased incidence of certain


diseases
Psorasis incidents increased in
smokers, although the
relationship is still unclear

Skin Malignancy
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

Temperature change caused by


smoking
Before 320-350C
After 19min 320-340C
After 32min 320-330C
After 42min 340C
After 66min 350C

Smokers have a higher risk


SCC
Relationship of smoking and
BCC reported in tumors> 1cm

Electronic cigarette
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

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