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Yes, it can aggravate the condition in several ways: Smoke causes the skin to dry out, which makes it more prone to breakouts Cigarette smoke clogs your pores and sebaceous glands, which is one of the most common causes of acne Nicotine withdrawal (which can happen quickly in between cigarettes) triggers stress hormones which often causes flare-ups Cigarette smoking constricts your blood vessels, which prevents your cells from healing pimples, sores, inflammation, itchiness and other acne symptoms Smoking can also decrease the effectiveness of your acne treatment and eventually lead to severe acne Due to the restricted blood flow and lack of Vitamin E, A, and other nutrients, your skin may not be able to recover quickly, or at all In short, smoking and acne are intertwined

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