This choker is made from authentic water buffalo bone hairpipe beads, 6 mm round gunmetal beads, 8 mm round hematite stone beads, genuine leather, and deerskin laces. The choker is approximately 16 inches long (not including the leather ties) 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.