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 6 Tips for Botox Aftercare Aesthetx 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 Does Vaping Harm Eyesight: Effects of E Cigarettes on Vision La Jolla, CA Del Mar, CA GW Eye Associates How my Botox injection appointment went. (bladder)