The band doesn't irritate the skin, even if it fits very close to you. If your wrist is just below the size of the medium it can be a little hard to fasten it (which is expected), but it won't slide up and down at all, which is great.
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Very quality made leather, sturdy feeling, has metalic studs, not cheap plastic or knock off aluminum. Has a decent weight to them.
The band is about an inch and a half across.
I bought two. Good buy.