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The pendants are handmade. The heart shape is made from silk fabric which is firmly filled, creating a small heart-shaped ‘cushion’. The silk is embroidered with cotton and Japanese silk ribbon. The hearts are adorned with glass, ceramic and semi-precious beads, fresh water and cultured pearls and silver beads. The hearts are attached to strong cotton twine which is tied with a sliding knot so the pendant can be worn long or short.