How Nicotine and Vaping Affect Costmetic Surgery Results We'd rather tell you this before your appointment than after. Nicotine use, cigarettes, vaping, pouches, any delivery system, is clinically documented to shorten the duration and reduce the consistency of Botox and Smoking After Rhinoplasty and Your Rhinoplasty Recovery Dr. Rival People warned to lay off the vapes to avoid botched botox Vaping and Plastic Surgery: Norberto Soto, MD: Cosmetic Surgeon