The Impact of Smoking and Vaping on Skin Health: Dehydration, Acne, and Sagging NextMed Clinic 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 PSA: No drinking, smoking or vaping after Botox or filler! Alcohol and nicotine (yes, even from vapes) can increase bruising, swelling, and delay healing. Want smoother results and less downtime? Skip the The placement for a lip flip V smokers lines is slightly different! #smokerlines #lipflip #hollylouiseaesthetics #lipflipinjections #aesthetics #fyp #botox #injections