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To the Editor.—
As a plastic surgeon, I have a problem with the vertical wrinkles often seen on the upper lip (Fig 1), almost invariably in women. Fortunately, we can treat these effectively today with a chemical peel procedure (Fig 2).The question is, though, are these vertical wrinkles from cigarette smoking, or pipe smoking, or whistling, or kissing, or drinking from a straw, or applying lipstick, or not shaving, or pouting, or having more female hormones, or holding diaper pins between the lips, or what?
Ludin EN. Smokers' Wrinkles. JAMA. 1973;226(7):788. doi:10.1001/jama.1973.03230070048019