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This has raised concerns among patients, leading many to question whether this effect is real, who is most at risk, and whether it is permanent
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several studies have proven its harmful impact, as pollutants like particulate matter, nitrogen and sulfur oxides, ozone, and polyaromatic hydrocarbons damage skin by different mechanism resulting in skin dryness, loss of firmness, dark spots, uneven skin tone, fine lines and wrinkles, aggravation of acne, and inflammation