The left-hand side of her face shows how a non-smoker will age naturally; while Carolyn used special effects makeup on the right-hand side to show advanced wrinkles, limp hair and yellow teeth as a result of smoking. Her right lung is blackened and highlights the damage caused as a result of the tar that has built up over the years.

The photograph is one of a dramatic series taken to mark No Smoking Day 2011 (March 9) to show how a person who smokes will age over a 40-year period if they continue to smoke 20 cigarettes each day.