Is vaping worse than smoking a cigarette? Fedhealth Medical Aid 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: Does vaping (using e cigarettes) make a difference to our health and are there harms with second hand vaping? iHealth Facts Secondhand smoke from cigarettes worse than vapes UPI.com