cigarette paper like scarring Is this from Ehlers-Danlos syndrome? Scar - Wikipedia

Also, to cite experience elsewhere, huge tax increases on all packs of cigarettes sold in Britain dont appear to have appreciably diminished the smoking rate there

There are a few reasons

Of the 77 pieces of evidence cited by four global tobacco companies: only 17 actually addressed the impact of standardised packaging on smoking none were published in peer-reviewed journals, an important marker of scientific quality 14 of the 17 (82 per cent) were either commissioned by or linked to the tobacco industry in some cases this link was not clearly stated by the tobacco companies in their consultation responses The contrast between the quality and relevance of tobacco industry evidence versus the evidence in the systematic review is stark," Dr Jenny Hatchard said

They come with their own set of complications

The factors supporting these public health gains appear to be more about the availability of acceptable and affordable products, coupled with consumer interest, rather than active governmental or public health interventions