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Theories include: Heat from the cigarette directly burning the skin Changes in the elastic fibres of the skin (elastosis ) Narrowing of blood vessels (vasoconstriction), which reduces blood supply to the skin and can cause changes in skin elastic fibres and loss of collagen Reducing vitamin A levels and moisture of the skin

packs, Australian packs typically contain 25-30 cigarettes because of the different regulatory and market standards

Although there are few clinical studies investigating the health effects of e-cig use in never-smokers and never-vapers, these studies have raised the possibility that e-cig aerosols of PG and/or VG may be sufficient to induce airway inflammation