This is a high quality septum pincher handcrafted from natural Lapis Lazuli gemstone. This jewelry is suitable for use as a nose ring, septum ring, earring or other body piercing. This listing is for one pincher. Please select your desired gauge size from the drop down menu during checkout. All of our septum pincher are 100% handmade with love and care. The stone is completely natural and not treated in any way. Please note that due to the natural variations in gemstones, each piece may have slightly different color and pattern than the one shown in the picture.