Pearl Skull 18K White Gold Ring w/Diamonds and White Sapphires, showcases avant-garde style and craftsmanship with a touch Gothic romance. Featuring double band of twisted rope in 18K white gold embracing a large white fresh water pearl depicting the face of a skull with white diamonds (0.39 ct. tw.) and flanked by 6 beautifully clear sapphires (3.0 ct. tw.) Custom sizes available upon request. Handmade in Italy. Signature envelope included.