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: Mysterious vaping deaths: Why US officials are focusing on flavour Is Vaping Bad for Your Heart? What the Latest Research Shows Vaping releases toxic chemicals, including heavy metals, as well as ultrafine particles that go deep into the lungs. These increase the risk of heart and lung disorders.