This incredible sterling silver bracelet was handmade from start to finish by a Navajo native american artist with the initials K.Y. It features 21 genuine nuggets of Sleeping Beauty Turquoise set in a detailed cuff of Sterling Silver hand stamped with traditional Southwest designs. You won't believe the beauty of this bracelet when you get it on your wrist. The cuff measures 1.53" wide with an inside measurement of 5.70" and an opening of 1.34". Size can't be adjusted.