This is an ITH mask that I made for my father-in-law. It was a free design from, Creative Applique. They gave multiply sizes and has a place for putting a wire or pipe cleaner to fit the top of the nose. There was also a pocket for putting in a filter. It was all done in one hooping. I tied the elastic in a slip knot so it can be lengthened. He was very pleased with it. Thanks for taking a look! Hugs to all, Laura