BEAUTIFUL IVORY AND BEIGE/TAN FAUX LEATHER CIRCLE MEDALLION WITH GOLD CHROME CUFF THAT WILL PAIR WELL WITH THE BONE AND FLESH-TONE HOOPS (SEE EARRINGS PICTURED - SOLD SEPARATELY FROM NECKLACE). THE CUFF SLIDES RIGHT OVER YOUR WRIST. WRIST SIZE FITS MOST MEDIUM TO LARGE WRISTS.