This is a custom made 6 cameo bracelet. It has 6 large cameos (about the size of a quarter) Custom made to fit your wrist. With a handcrafted hook and catch on the rear. The cameos are all Italian SDhell and are A grade and carved by Master of Cameo Carving in Torre Del Greco Italy. This one is made in 14kt gold filled but can also be ordered in sterling silver.