This is a 3 cameo designer bracelet. It has three Italian shell hand carved cameos. The two on each side are 16x12mm about nickel size but a bit larger with the setting about 1 1/ inches. The center cameo is larger about 18x13mm and heavily sculpted in 14kt. G.F wire. The cameo bracelet will be made to fit your wrist. So please fill out the info above for the correct size.