The lady in pearls is an art creation and not for the shy! It is hand carved in italy by the best craftsman in the area. I created the 14kt gold and pearl setting one wire at a time and all the pearls are real. They are small fresh water pearls and are a creamy white. This is a pendant to be worn on a chain or It comes with a brooch attachment so you can wear it as a pendant or pin. Great for a bride! Cameo piece is about 2 inches high but we can offer you much larger cameos if you desire.