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The smoke would begin to disperse as it floats up so try and recreate this by breaking the outline of the skull

A good question, indeed

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Cigarette smoking is usually observed in the upper socioeconomic class, whereas chutta smoking or reverse smoking is observed in low socioeconomic status groups like fishermen and daily wagers or agricultural laborers, who most often become the victims of reverse smoking (a form of smoking in which the tobacco usage is through the lit end of chutta in the mouth)