Great question! Here's a clear comparison of smoking vs. vaping, especially in the context of surgical and skin health (like facelift outcomes): Smoking (Tobacco) WORSE overall Key Harms: . ? Many think vaping is the safer option, but the truth is that it can lead to severe lungs conditions, including pneumothoraxa lung collapse Vaping vs. Smoking: Is One Really Safer Than the Other? The impact of e cigarettes versus traditional cigarettes on long term cardiopulmonary outcomes American Journal of Physiology Heart and Circulatory Physiology American Physiological Society What Would Actually Convince the Surgeon General Vaping Is Better Than Smoking?