The American flag face mask is made with comfortable, stretchy ties that can be tied behind the neck and head, or cut short and stitched or tied together to form ear loops. This U.S. flag mask is not medical grade but is made with two layers of a dri-fit style fabric that has a layer of fusible interface between to create a better barrier, while maintaining a lighter feel and better breathability.American flag mask made in the USA!***NO RETURNS ON MASKS WILL BE ACCEPTED, but let's be honest... these are so badass and comfortable, you won't need to! - Thanks for understanding!***