This cuff is so cool! Made with only the best materials from HOT luxury designer, I.V.Y. Dimensions. Starting with a sterling silver cuff (flexible to adjust to most men's or women's wrists) the cuff is then wrapped in leather and skin to create an incredible textured cuff. On the front, there are three detailed sterling silver skulls, surrounded in brilliant black Swarovski Crystals. AMAZING! Looks great buy itself or pair it with another bracelet for a cool layered look. Each piece is custom made by hand to ensure the highest quality.