This vintage Cameo Pendant is strung on a 28 inch length of ivory 4mm and 6mm faux pearls.It has a pewter setting for the 30x40mm cameo of an ivory woman on a pinkish peach background.It is designed to be slipped over the head.An exact teplica of Grandmother Lowry's treasured cameo left to me over 80 years ago.It is in less expensive materials with an acrylic cabachone rather than shell.