Our pearl ear cuff is one size and designed to fit most ears. There is no need for a piercing, it slides on easily and it’s very comfortable to wear. Wearing tip: You can insert it at the top of the ear and slide it towards the bottom. We advice to take it off for sleeping or any physical activity since it’s not attached by a post, it can fall off. Each cuff has one 7mm stone, four 6mm stones and two 4 mm stones, the structure is solid 18K gold. .