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: Health experts say not to 'vape' around children, because the secondhand aerosol (it isn't vapor) from e cigs isn't safe for them Kentucky Health News The study could change everything we know about vaping.