Impact of Smoking and Alcohol Use on Facial Aging in Women
ABSTRACT: Objective. Data on associations between facial aging and smoking or alcohol consumption are generally derived from small studies, and therefore, vary. The aim of this large multinational study was to determine more accurately which clinical signs of skin- and volume-related facial aging are associated with tobacco and alcohol use in women.
Design. This was a subanalysis of a global, cross-sectional, Internet-based survey of self-reported facial aging.
Participants. Women aged 18 to 75 years old (n=3,267) from the United States, Australia, Canada, and the United Kingdom who described themselves as white, Asian, black, or Hispanic were included.
Results. Smoking was associated with an increased severity of forehead, crow’s feet, and glabellar lines; under-eye puffiness; tear-trough hollowing; nasolabial folds; oral commissures; perioral lines; and reduced lip fullness (p-value less than or equal to 0.025) but not midface volume loss or visible blood vessels. Heavy alcohol use (more than 8 drinks/week) was associated with increased upper facial lines, under-eye puffiness, oral commissures, midface volume loss, and blood vessels (p-value less than or equal to 0.042).
Conclusion. Smoking and alcohol consumption significantly but differentially impact skin and volume-related facial aging.
Smoking and alcohol consumption significantly but differentially impact skin and volume-related facial aging.