Vaping Versus Smoking: Are Electronic Cigarettes the Savior? Arteriosclerosis, Thrombosis, and Vascular Biology Vaping vs. Smoking: Is One Really Safer Than the Other? E cigarette or Vaping Use Associated Lung Injury (EVALI) American Lung Association E cigarettes not a gateway to smoking, may even speed its decline, says new study 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: