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hand painted on hard cut plastic (clear plastic so its double sided!) it is a sugar skull with a rose on each side. when its on it looks like a mini chest piece tattoo.. a really awesome piece of art. the skull has a sacred heart, diamonds, flowers and filigree on it and measures 2 inches tall and and 1.5 inches across, the roses are blood red and pink and measure 1 inch by 1 inch, and it all hangs from a silver plated chain, closes with a spring ring and measures 20 inches around.