I ordered a 38 in this belt (my husband's usual belt size) and it didn't even fit the front. I sent it back for 40 and it was the same size as 38! Don't worry - you may never get the size you need. It's not just skin, but you might not care.
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Pros
Good quality, worth the money. Fits as described
Cons
Was too small to begin with, gave it to my dad and it fit his small waist.