I purchased this because the ace wrap my Dr. gave me to wear post-SMAS mini-facelift was unbearably uncomfortable (itchy and choking). This item is composed of a very smooth material with light compression. I have a 22" head and 12" neck, so I ordered the M. The neck area is clearly too large but I don't need compression there and I knew it would be based on the size chart. I highly recommend this facial compression garment.

I got this in black, size S/M
It wirks well. The velcro clisures allow you to adjust as it stretches or swelling goes down.
But the black leaves marks on pillowcases- so use old pillowcases.
Also, for me, I needed to put something soft around neck to avoid corner of velcro poking while trying to sleep.I also found it handy to tie my front hair up in ponytail at forehead to keep garment from sliding towads my face.