Medium Tiffany Brim Hat With Multi-Loop Knot Bow - Q142 Tiffany brim in medium width that can be worn as-is or turned up with a biased brim: one side is slightly longer creating a slanted look. See second image for selected color. Approximately 23" - 23 1/2" in head size, but has an inner drawstring to adjust the fitting for a perfect fit. Crush/stain resistant all-season material. Made in U.S.A.