Gynecomstia
Thank you for your question and I would first follow what your surgeon has told you. I usually recommend at least a week and two to three weeks before strenuous activities. As far as smoking is concerned, I would follow your surgeons advise but it would be better if you stopped smoking completely. The vest can be removed in the first week just to shower but should be put back on as soon as possible after showering.
Every surgeon is different in regards to their post-op management. I have my patients wear compression for at least 4 weeks. I would suggest you quit smoking until your surgeon feels it is appropriate to smoke. Best Wishes Theodore T. Nyame MD