Sara Eileen handcrafts these ceramic pieces. Here, ze's placed ceramic skulls in epoxy clay, surrounded by freshwater pearls and red cubic zirconia. The heart bezel is sterling silver.
 
Please take a look at the second picture to get a sense of its size - this is small.
 
Chain length: 24"
Components: Stainless steel chain, ceramic, sterling silver bezel, freshwater pearl, cubic zirconia.
 
Lead/nickel free.