A member asked:

Can smoking a hookah pen thats nicotine and tobacco free cause wrinkles around lips?

3 doctors weighed in across 2 answers

Yes: Repetitive "pursing" of the lips may ultimately contribute to wrinkling.

Answered 4/30/2016

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Yes: Any nicotine containing product will result in loss of skin elasticity, and subsequently in the development of wrinkling around the mouth. Also facial volume loss appears to be increased in smokers, resulting in the face having a more gaunt appearance.

Answered 5/15/2014

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