Vaping is the leading cause of early ageing and skin cancer, says expert

Dr. Shweta Rajput, MBBS DVD, Medical Adviser for Entod Pharmaceuticals says, “The well-documented health risks associated with smoking, such as heart disease, lung disease, and lung cancer, are widely known. The Centers for Disease Control and Prevention (CDC) reports that cigarette smoking alone accounts for 1,300 preventable deaths each day. While the long-term effects of vaping are still being studied, extensive research indicates that the toxic chemicals produced by e-cigarettes pose significant dangers.”
Considering the detrimental impact of smoking on our overall health, it begs the question: What consequences does it have on our skin? How does smoking, as well as vaping (including secondhand exposure), affect our complexion? Furthermore, can any of these changes be reversed? Let's explore the answers to these inquiries.

During vaping, a significant influx of chemicals is introduced into the body. The delicate lung tissue easily absorbs gases, and prolonged inhalation of vapour leads to a sharp increase in numerous toxins.
“The specific ingredients inhaled vary depending on the type of vape being used. The level of harm is also influenced by the duration of inhalation and the frequency of device usage. Some potential chemicals present in the vapour include formaldehyde, nicotine and its derivatives, propylene glycol, toluene, acetaldehyde, as well as trace metals like cadmium, nickel, and lead,” says Rajput, who is also an Associate consultant at dish skin clinic.
The inhalation of these toxic substances inevitably affects the skin. The skin acts as a reservoir for the body, causing a significant portion of these inhaled substances to be deposited within its layers. Overloading the skin cells with toxins can disrupt their normal functions, including the essential task of repairing the skin barrier.
As a consequence, premature ageing symptoms may arise, manifesting as dryness, enlarged pores, sagging, wrinkles, hyperpigmentation, and uneven texture. Nicotine, a component found in both cigarettes and electronic cigarettes (e-cigarettes), has the effect of constricting blood vessels, resulting in reduced blood flow to the skin. When the skin receives inadequate blood flow, it does not receive the necessary nutrients for maintaining its health. Insufficient nutrients contribute to the development of wrinkles. Moreover, this impact is not limited to facial wrinkles alone but extends to wrinkles throughout the body, as highlighted by Mayo Clinic.

A study published in Experimental Dermatology reveals that nicotine has been linked to a delay in wound healing and accelerated ageing of the skin. Science News further emphasises that nicotine triggers inappropriate cellular activity, leading to sagging and wrinkling of the skin. In addition to nicotine, the facial expressions made while vaping, particularly the movements of the mouth and eyes, can contribute to the formation of wrinkles on the face.
Additionally, smokers are twice as likely as non-smokers to develop squamous cell carcinoma and face an increased risk of melanoma—two common forms of skin cancer. According to an analysis published in the New England Journal of Medicine, the levels of formaldehyde in e-cigarettes may be as much as 15 times higher than those in traditional cigarettes. Formaldehyde is a known carcinogen.

In simple terms, quitting vaping leads to improvements in the skin. Increased blood flow and decreased carbon monoxide levels contribute to a better complexion as oxygen, antioxidants, and new skin cell production normalise. The cessation of vaping also helps prevent further damage.
“To enhance skin recovery, it is advisable to incorporate specific skin care practices. Using an antioxidant vitamin C serum during the day, followed by sunscreen, aids in preventing additional skin damage. At night, the application of a vitamin A serum promotes collagen rebuilding, fades pigmentation, improves textural irregularities, and regulates oil,” says Dr. Rajput.
However, it is essential to maintain realistic expectations for individuals who have developed wrinkles or sagging due to years of vaping. Despite skincare efforts, a complete reversal of all signs of damage may not be achievable. In such cases, exploring professional in-clinic treatments like microneedling, lasers, and Ultherapy can stimulate collagen production. Dermal fillers can be utilised to restore volume loss, and other treatments can address deep smokers’ lines around the mouth.

According to Dr. Rajput, “The best course of action is to refrain from both smoking and vaping. Evidence indicates that electronic cigarettes can contribute to the development of wrinkles, premature ageing, and potentially more severe health problems. Considering the current knowledge available, it is advisable to avoid the use of e-cigarettes. The evidence thus far suggests that electronic cigarettes are not beneficial for overall health, including the health of your skin.”