Our N-Style ID Hope medical ID bracelet is a trendy adjustable bracelet that will fit perfectly in your denim world. The tiny seed beads are woven in a simple Aztec pattern of blues and tans and 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. The lobster clasps allow you to interchange the ID to multiple interchangeable stylish medical ID bracelets for adults. 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.