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Its actually made to be worn just over the top of your tuxedo, and its more a decorative piece that is supposed to keep a black-tie outfit protected from the harshest elements

Spaghetti Straps: Adjustable for a comfortable and tailored fit

Multi-layered design provides cushioning and helps to redistribute pressure Silicone wound contact layer minimizes trauma to the wound and pain to the patient during dressing changes8 while allowing the dressing to be repositoned