AbstractA key parameter governing the secular evolution of protoplanetary disks is their outer radius. In this paper, the feedback of realistic dust grain size distributions onto the gas emission is investigated. Models predict that the difference of dust and gas extents as traced by CO is primarily caused by differences in the optical depth of lines vs continuum. The main effect of radial drift is the sharp decrease in the intensity profile at the outer edge. The gas radial extent can easily range within a factor of 2 for models with different turbulence. A combination of grain growth and vertical settling leads to thermal de-coupling between gas and dust at intermediate scale-heights. A proper treatment of the gas thermal structure within dust gaps will be fundamental to disentangle surface density gaps from gas temperature gaps.