I would try both and find your own style.. that’s what I did.. I remember thinking the vacuum extender was the “end-all-be-all”, but vacuums have its own set of issues and rules that come with it you know? Then there is the noose, which I’m still mastering now, but I have read many users doing 2-2 1/2 hour sets which to me sounds ridiculous! Therefore it’s all about comfort. I guess this is why so many people choose vacuums ? It’s funny bc anything vacuum based, whenever I set at a strong tension, begins to get uncomfortable close to an hour.. pro’s and con’s to them all.. I would get both of them cheap too! If u have time and privacy that’s a dream for any P.E’r lol