Illustration of the four generations of e cigarette or vaping products. Download Scientific Diagram 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: E cigarettes not a gateway to smoking, may even speed its decline, says new study Everything you need to know about e cigarettes Vox The 101 on e Cigarettes Infographic American Heart Association