Our Ear Cuffs are 18k gold gilt petite charms that require no piercing! Each golden cuff earring slides comfortably into place wherever you prefer, no healing time needed. Our Heart & Dagger pairing features symbols of alchemy and mysticism, and brings to mind traditional tattoo aesthetics. And, as always, they are hypoallergenic, nickel, lead, and cadmium-free. Presented in matchbook style gold foil box with punch-hole for hanging. Case pack of 4. Small ear cuff: 10mm diameter Large ear cuff: 13mm diameter