Beautiful real freshwater pearls are used on this bracelet. It is such a unique piece and will go with every outfit. Made with hypoallergenic 14k gold filled accessories or sterling silver accessories. They make great baptism gifts, birthday presents for any age! Feel free to message me with any questions you have. Thanks for shopping small and supporting a hand made bracelet shop in the U.S.A. I hope you love your bracelets! Size Chart" 0-6 months: 4” 6-12 months: 4.5” 1-2 years: 5” 2-6: 5.5” Girl: 6” ages (7-12) Adult S: 6.5” Adult M: 7” Adult L: 7.5" If you have any questions about sizing please let me know!! I do resize for free as long as you cover the shipping costs if the measurements look smaller or bigger than your little one please add it in the notes! Thank you!