Our masks are handmade with 2 layers of 100% cotton & elastic ear loops. All mask styles & sizes, except for child size, feature silicone elastic locks so that you can adjust the tightness/comfort to your liking. Pleated style masks are sewn with nose & chin darts to fit your face better for comfort & easy breathability. There are no metal parts to worry about rusting, breaking or losing in the wash. PLEATED MASK SIZE GUIDE: ~ CHILD: Approx. measurement is 6W (ear to ear), mask will expand to approx. 5 (bridge of nose to under the chin) when wearing it. ~ PETITE/TEEN: Approx. measurement is 7.5"W (ear to ear), mask will expand to approx. 5" (bridge of nose to under the chin) when wearing it. ~ ADULT: Approx. measurement is 7.5"W (ear to ear), mask will expand to approx. 6" (bridge of nose to under the chin) when wearing it. Please launder mask prior to first wearing. Machine washable warm & tumble dry low. Do not iron directly on elastic ear loops. All masks are final sale & cannot be returned due to sanitary reasons. To purchase the Nose Wires, click on this listing to add to your order! https://www.etsy.com/PeachAndTulip/listing/919994759" Pleated Vcu/Virginia Commonwealth University Rams Mask. Adult, Teen & Child Sizes. Reusable, Washable, 100% Cotton