Search tips
Search criteria 


Logo of bmjcredLink to Publisher's site
Br Med J (Clin Res Ed). 1985 December 21; 291(6511): 1760–1762.
PMCID: PMC1419177

Smoker's face: an underrated clinical sign?


In a prospective survey of patients attending a general medical outpatient clinic roughly half the current cigarette smokers who had smoked for 10 years or more were identified, using defined criteria, by their facial features alone. These facial features, designated "smoker's face," were present in three (8%) of those who had smoked cigarettes for 10 years or more in the past and in none of the non-smokers. The association of smoker's face with current smoking that had continued for 10 years or more was significant (p less than 0.001) and remained after the patient's age, social class, exposure to sunlight, recent change of weight, and estimated lifetime consumption of cigarettes were controlled for. Smoker's face may be a helpful indicator in antismoking campaigns.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (770K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Daniell HW. Smoker's wrinkles. A study in the epidemiology of "crow's feet". Ann Intern Med. 1971 Dec;75(6):873–880. [PubMed]
  • Seltzer CC. Morphological constitution and smoking. A further validation. Arch Environ Health. 1968 Jul;17(1):143–147. [PubMed]
  • Allen HB, Johnson BL, Diamond SM. Smoker's wrinkles? JAMA. 1973 Aug 27;225(9):1067–1069. [PubMed]
  • Maker HS, Lehrer GM, Weiss C. DNA content of mouse cerebellar layers. Brain Res. 1973 Feb 14;50(1):226–229. [PubMed]
  • Kligman AM. Early destructive effect of sunlight on human skin. JAMA. 1969 Dec 29;210(13):2377–2380. [PubMed]
  • Klemp P, Staberg B, Thomsen K. Hudgennemblødningen hos habituelle rygere. Ugeskr Laeger. 1982 May 31;144(22):1604–1606. [PubMed]
  • Reus WF, Robson MC, Zachary L, Heggers JP. Acute effects of tobacco smoking on blood flow in the cutaneous micro-circulation. Br J Plast Surg. 1984 Apr;37(2):213–215. [PubMed]

Articles from British Medical Journal (Clinical Research Ed.) are provided here courtesy of BMJ Publishing Group