The Electronic Cigarette: The Good, the Bad, and the Ugly ScienceDirect 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: An updated overview of e cigarette impact on human health Respiratory Research Springer Nature Link Full article: College students' underlying beliefs about using e cigarettes: an application of the reasoned action approach