"This sterling silver non pierced handmade helix cuff ear cuff is made to be worn on the upper ear. It has the look of a helix ball closure ring or captive ball ring, so looks like a typical piercing. No piercing is required for this helix cuff. It is handcrafted from sterling silver wire and a sterling silver "stardust" round bead. This is for one helix cuff. Thank you and please see the other items in my store. I happily combine shipping. "