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No. 12: Tacoma, Washington
Not a fan of stress breakouts? (Stress raises your level of cortisol, which can affect oil glands and acne.) You may want to avoid Tacoma like the plague, because -- along with 21 tanning salons per capita and a high incidence of skin cancer according to the Center for Disease Control -- it is the most stressed-out city in our country. (Tacomans may find some relief from these top-rated acne-fighting products.)

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No. 11: Macon, Georgia
Macon may be the "Heart of Georgia," but its residents might want to run to the borders for the sake of their pores. With 88 percent average humidity, it is one of the most humid cities in the country. According to Dr. David Bank, founder and director of The Center for Dermatology, Cosmetic and Laser Surgery, your skin needs some humidity to prevent it from looking dry and dehydrated, but too much can trigger breakouts. When you sweat (which happens often in humid climates) it mixes with oil and dirt, which can clog pores and cause breakouts.

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No. 10: Tampa, Florida
Tampa has above-average sunshine, tropical humidity levels, and a smoking rate of 23.4 percent (the national average is about 20 percent). And though sunny days are a plenty, Tampa folks still flock to tanning salons like they're going out of style! Sorry Floridians, we know you have an awful thunderstorm season in the summer too, but there's really no excuse for the UV worshipping.

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No. 9: Kansas City, Missouri
Missouri has one of the highest levels of skin cancer in the country, and over a quarter of Kansas City residents smoke. Heavy pollution and 81 percent average humidity aren�t helping these Midwesterner�s complexions either, but as Dr. Audrey Kunin, founder and president of DERMAdoctor, explains, it's those butts that are really doing the most damage: "Smoking is the quickest way to age your skin. It prevents oxygen from reaching the skin, restricts the blood vessels, and triggers mmp1, the enzyme that destroys collagen." Collagen loss means looser skin tone and sagging skin.

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No. 8: Detroit, Michigan
Mr. President, could the Motor City get a skincare bailout, please? If the plan for this sixth most polluted U.S. city could somehow eliminate the factory emissions, humidity (81 percent on average), and second-hand smoke from the air, we're confident that Detroit's high melanoma rate would soon be replaced with a high "youthful glow" rate.

Before blowing your next paycheck at the derm's office or on pricey skin care products, take a closer look at the place you call home. We looked at pollution levels, sunshine and humidity averages, skin cancer, smoking rates, and even tanning salons per capita to determine which U.S. locales could be disastrous for your skin. Did your city make the list?
BY MEGGIE PURPURA | SHARES
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