Handmade {by me!} poly-cotton floral-print fabric mask. Accordion-style with 8 studs and ironed-on biohazard patch. Metal strip sewn in around nose to keep fabric tight along face. Elastic string goes around top of the head and ties at the bottom (back). I can substitute in ones that loop around the ears if you prefer. Very comfortable and customizable! 'Tulip' brand fabric spray paint used. Fabric glitter paint along edges. Totally washable.