The Espresso braided medical ID bracelets are a simple casual bracelet of solid dark brown woven nylon threads. The Contempo ID offered with the braided medical bracelets come in a variety of colors and are also interchangeable with most of the leather bracelets, all beaded bracelets, as well as the interchangeable medical bracelets If you require 4 lines of engraving, you would purchase the Max Contempo medical ID tag. and the Smoke Braided Bracelet separately. Charms pictured are sold separately and will be attached to the ID tag. To calculate your bracelet size for this woven threat bracelet, measure your wrist and add 3/4” to 1”.