People warned to lay off the vapes to avoid botched botox Masseter Botox Muscle, Jaw, Teeth Grinding Dr. Michele Green M.D. NYC Vaping and Plastic Surgery: Norberto Soto, MD: Cosmetic Surgeon 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 Will smoking my vape affect getting lip flip Botox for a gummy smile, directly impact my results?