A circumferential compression sleeve has bladder openings extending through a bladder, making the sleeve generally breathable and comfortable for the wearer. The openings include at least about 4% of a total surface area of the bladder. The device also has a static evaporation rate through the device of at least about 20 mg/minute. In one example, the device includes a wicking layer for contacting the wearer's skin. The wicking layer wicks moisture from the wearer's skin and generally moves the moisture to portions of the layer in registration with the openings where the moisture is allowed to evaporate therethrough.