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This can cause problems like lip filler infection and abscesses Faster degradation of the filler The free radicals and chemicals from cigarette smoke may accelerate the breakdown of the dermal filler material itself, reducing its longevity and lifespan in the lips Aggravation of inflammation Smoking can trigger inflammatory responses due to the chemical irritation caused by cigarette smoke

however, gender and particularly age are important influencing factors [19, 20]

While potentially less harmful overall, nicotine-containing e-cigarettes may still affect esophageal sphincter function, though more research is needed to fully understand their impact on GERD

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