Fit is large for a "4" but I believe an Italian size 42 is a 6. I'm 5' 7.5", 34D, normally wear a 6 and the 42 fit fine, slightly large. It's meant for longer torsos and I had a problem with the corset top bunching up at the waste so I just bunched the whole dress and it looked fine. I love the dress, super fun and cute so great to rent for one night. I highly recommend trying on or getting two sizes to see how you like it, definitely better for taller girls. Best with a stick on bra and its a nice length, you have to tie the bow very tight (and someone else will need to do this for you) it still falls a little but what strapless dress doesn't do that a little. I didn't find it annoying because I loved the dress.

Tangram Sheath

Moschino

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Size Worn: 42

Usual Size: 6

Height: 5' 7"

Bust: 34D