Pictured in 14 kt gold and set with a 6 mm round natural yellow sapphire that touches the skin, this design is meant to evoke elements of the head of an elephant as well as the shape of the human heart, a flower, a butterfly. This piece is also available in other metals or without any setting (pictured in the last photo). Alternatively, you may add your own gem for us to set or have us source the gem to set. For these custom constructions, reach out for a quote. 1.7 by 1.5 by 0.4 inches