MediChoice Surgical Vests are designed to support the ribs, sternum and breast tissue after surgery. The vests immobilize side and breast tissue, eliminating the need for splints or taping. Hook-and-loop fastening makes adjustment easy, and padded and adjustable straps increase comfort. An elastic back panel assists in fit and comfort. Quadruple-extra-large size fits wearers sized 46 to 48 inches. *** Please note we DO NOT accept opened product returns. Any unopened and undamaged items purchased through Amazon can be returned within 30 days of the shipping date. Please see our return policy for additional details. ***