This vest is super comfortable. I have lymphedema after breast cancer surgery/reconstruction and I've tried every type of compression cami, including two that are custom made.  This vest fits like a dream, the compression is light but firm and the fabric is lightweight and breathable. It seems durable, so far I've had this a few months, worn it 1-2 times a week, machine washed and air dried it without any pulls or snags.  I don't put it in the dryer, since heat might damage the elastic. I showed it to my physical therapist and she will recommend it to her other clients who cant bear wearing bras over their incisions, like me.  I recommend this vest for anyone who just wants a smooth line from top to bottom.  On me it fits just like the picture and it rolls up a bit but as long as it's tucked into slacks or tights it stays put.  However there is no elastic around the bottom edge.  This gives me more than enough support, but again since my reconstruction gravity isn't a problem, it's pressure on incisions that makes a regular bra impossible.  Women with very full natural breasts may need to wear this over a bra for more support.