This Ear Cuff does not require any piercing. It gently and comfortably hugs the ear and is perfect for wearing alone, stacking with others or layering in with your earring wardrobe. Amethyst is great for calming and relieving anxiety and stress. 3 Purple Amethyst 2x4mm each 18k Gold over Sterling Silver Cuff measures .5" ADJ logo stamped Gift boxed Matching bangles, studs and pendants available How to care for your ear cuff: Do not sleep in jewelry It's a good idea to put jewelry on last, and then take it off first thing Do not wear in water, whether showering or bathing Don't expose to perfume, oil, or lotion Avoid excessive sweat while wearing Store away from moisture Use soft cloth to restore shine Please note, this unique piece is made to order just for you. Please allow up to two weeks for creation from time of purchase, thank you!