Luxurious open mouth gag is double padded and double stitched with designer accents. It's soft and plushy on one side with designer fabric on the other. Adjusts up to 23.5 in. Includes two fully adjustable and detachable multi-use clamps with soft comfortable pads, and high quality 22-in. tiered chains. Adjustable buckle closure with 2 interchangeable rings with 1.5 in. diameter.