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Twenty-five years ago, it may have been more acceptable for a patient to have undergone surgical procedures while smoking. Nowadays if a doctor knew a patient was smoking and they did flap surgery [an operation where shifting skin is required] many of us would say that’s malpractice.Dr. Patrick McMenamin, the president-elect of the American Association of Cosmetic Surgery.
Exhaled smoke contains significant levels of nicotine, tar, nitric oxide and carbon monoxide, which disrupt and weaken the skin's barrier, leading to the break down of collagen, resulting in symptoms of smoker's skin.Tom Mammone, the head of research and development at Clinique.