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However, the development of raised, indurated areas should raise suspicion for malignant transformation

Yes, smoking directly impairs your skins health by constricting surface blood vessels, which reduces oxygen and essential nutrient flow to epidermal tissues

This has been recognised by the World Health Organisation (WHO), with them saying: the environmental damage that tobacco causes, on top of its negative health, social and economic impacts, makes it incompatible with the global development agenda

This is why you should discuss with your physician about whether you have any of this condition before treatment commences