Our N-Style ID Dusk medical ID bracelet is a unique wrap bead bracelet that will fit perfectly in your denim world. The seed beads on this beaded medical jewelry are woven in an Aztec pattern of blues and tans surrounded by dark blue crystals which are all wrapped up in leather cord. The size is adjustable by where you choose to place the button in the knotted leather. Size adjusts from a 6" wrist up to an 8" wrist. All N-Style ID beaded medical bracelets should be removed before showering or water activities and are not recommended for everyday wear. For everyday wear, we recommend switching the beaded bracelet to one of our stainless steel chain bracelets Charms pictured are sold separately and will come attached to the ID tag.