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: asthma tobacco Asthma Initiative of Michigan 5 Vaping Facts You Need to Know Johns Hopkins Medicine Secondhand smoke and secondhand aerosol Vaping vs Smoking Cigarettes vs Vaporizer Bucks County PA Dangers of Secondhand Vape From E cigarettes Secondhand Vaping