Clear' Vapes May Have Even Worse Health Effects MedPage Today Is Vaping Worse Than Smoking? St. Vincent's Medical Center 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: Vaping vs. Smoking Which is Safer for Your Lungs? Think vaping is the "healthier" option? Think again. Both smoking and vaping come with serious risks to your lung health,