Vaping vs smoking: nicotine equivalents explained Smoking vs Vaping Does Vaping Cause Acne? A Scientific Deep Dive into Skin Health and E Cigarettes 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: If you vape, you inhale a lot of harmful substances. These can damage your heart and lungs.