This choker is made from authentic water buffalo bone hairpipe beads, 6 mm round brass metal beads, 6 mm round synthetic beads, 8mm round synthetic beads, deerskin laces, genuine leather and Mother of Pearl sea shell. The choker is approximately 13.5 inches long (not including laces) and 2 inches high. This is a traditional 6 strand tribal bone choker necklace. This jewelry is 100% handmade in the USA. We accept custom orders, just send us a message to discuss your ideas.