I purchased 2 masks on Etsy. They were complete garbage, which surprised me because the reviews were good. Open seam unraveling, one ear loop about and inch bigger than the other, smaller than a normal surgical mask...I think they were into saving material. I am not a seamstress, but can do a much better job. I've made 2 kinds, both using surgical mask as a base. First kind, sew a cover directly to the surgical mask. Second kind, make a sleeve with material that the surgical mask slides inside. These both look better, but my preference would be a plain surgical mask for comfort.