Our N-Style ID Essence medical ID bracelet is a wrap-around bracelet in a combination of feminine and casual. The seed beads are woven in an Aztec pattern of pinks, silver and tan, surrounded by pink opaque beads which are all wrapped up in leather cord for a bead medical alert bracelet. 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. The lobster clasps allow you to interchange the ID to multiple interchangeable bracelets. 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 other stainless steel chain bracelets. Charms pictured are sold separately and will come attached to the ID tag.