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: Evidence update on the cancer risk of vaping e cigarettes: A systematic review Tobacco Smoke, Vaping, and Asthma AAFA.org Secondhand smoke from cigarettes worse than vapes UPI.com Secondhand vape exposure: Risks and side effects