after i didnt ask him about doing it though. the vest got looser over time so all i was doing was adding extra compression

Did you do that before or after you saw the doc for the first post-op appointment?

Yeah mine was too comfortable/loose so i put gauze pads underneath or used an ace bandage wrap overtop of it for extra compression.

Maybe I'm not feeling it because of will the anesthesia, but outside the bottom strap, the best is mostly comfortable. Do I need it be tighter? It's zipped up all the way. 

It's this one https://recovery.marena.com/products/mvs-compression-vest

Compression vest tighter?