Is Vaping Better or Worse than Smoking? LOOKAH 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: Scientists are warning that vaping may repeat the same public health mistake made with cigarettes. Early research now shows vapes can damage cells, cause inflammation, and are likely linked to lung and Heated Tobacco Products, Cigarettes, and E Cigarettes: What's the Difference PMI Science Vaping vs Smoking vs IQOS: Which is Least Harmful?