- Yellow hue
- Gray hair
Deep furrows on the cheeks and jaw and wrinkles radiating out from the lips and eyes are characteristic. Patients who have smoked for more than 50 pack-years are almost 5 times as likely to be wrinkled as nonsmokers [AD 1992;128;1106]. Smokers are also more likely to have gray hair [BMJ 1996;313;1616]. A histologic study showed increased elastosis in patients who smoked compared to those who did not [JAAD 1999;41;23].
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