The topp rolls down in the back and on the sides. The front stays fine.  That makes it uncomfortable and defeats the purpose of providing gentle back support (product(suggested by my doctor). I did sew on 2 fabric straps to back that I can put around my bra back. I know Spanks does make a product with straps or over shoulder, but the Amazon package says this is not returnable if worn so I can't afford another purchase.