Lymphedema No Needle or BP on LEFT Arm Medical ID Alert Italian Charm Bracelet More noticeable and easy to read. This charm is slightly raised and letters are more visible. We send a standard 7 inch bracelet. If you need another size contact us as soon as you place order Bracelet stretches over your hand. Other charms can be purchased and added in this bracelet. Italian charms are interchangeable if you decide to take out or add other Italian charms. You will receive 3 extra links and instructions on how to add or take out charms and links.