I think it's a small fit. My head circumference is about 52cm, and the back has elastic. It feels like a women's S size, and I think it would fit someone with a head circumference up to 56cm. You can see what looks like scuffing depending on the angle of the light (photo 6), but I think it's a beautiful item, as I only wore it out once. The fabric is a bit rustly. There are no accessories.