Our N-Style ID adjustable stainless steel medical bracelets are not only stylish, they are also adjustable from a 6" to 8" wrist. The simple chain adjusts by where you attach the lobster clasp on the extension chain. The clasps which attach the bracelet to the medical ID tag allow this bracelet to interchange onto other interchangeable bracelets. Charms pictured are sold separately and will come attached to the adjustable bead bracelet's ID tag.