My regular size would be Medium (34D, 129lbs, 5'3"), so I purchased a Medium. It fit just like the picture, but was a little long in the sleeves for my liking and looked a little broad in the mid-section. Although, I have not worn a traditional blouse of this style in a while, so may be my own perception. This blouse washed well in cold water under delicate cycle. The blouse is very pretty. I wore it over cognac leather pants.
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