A quick note about this bib. I originally made them where the neck area was sewed closed, but because everyone's head isn't the same size, that didn't work out in some cases. So then we tried velcro. But the "ripping" sound distressed people with alzheimer's and dimentia. I didn't do ties because I didn't think ties could withstand the constant washing. So I settled on elastic and that turned out to be the best option. And it's easily replaced when it gets worn out.