"This Handmade ear cuff is made to be worn on the upper ear. It is larger than the "Crystal Up" cuff, and has 2 crystals, giving the impression of more piercings, as well as making more of a statement. No piercing is required for this helix cuff.. It is handcrafted from permanently colored copper wire. Thank you and please see the other items in my store. I happily combine shipping. "