This choker is made from authentic water buffalo bone hairpipe beads, 6 mm metal beads, 6 mm howlite heishi beads, 8 mm howlite beads, deerskin laces, genuine leather, and a choice of Abalone or Black Lip sea shell pendant. The choker is approximately 15 inches long (not including laces). The shell pendant is approximately 45 mm. This is a traditional 4 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.