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These hats are tailored with darts on the top to form to the head for a streamlined perfect fit. The band in the front can be adjusted and there is also a cord lock in the back to adjust the tightness just below the ties. The back is quite roomy with 3 pleats to allow for longer hair if needed. The adjustable small to medium is good for those with a head circumference of up to 21.5 inches. These are great hats for anyone with short hair, long hair, or people who are just particular about the way things fit. These can be used as scrub hats or chemo caps.