E Cigarette vs. Traditional Cigarette: Health Risks, Research Gaps, and Counseling Considerations Smoking, vaping, hookah & e cigs Power to the Parent 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: Johns Hopkins Medicine Team Proposes Ways to Regulate and Better Manage E Cigarette Use Johns Hopkins Medicine What Would Actually Convince the Surgeon General Vaping Is Better Than Smoking?