Handmade in Italy. Delicate 'Cameo with a pearl' necklace is adorned with a baroque freshwater pearl chosen for its beautifully unique shape and a hand-carved from fine porcelain mini cameo, symbolizing love and romanticism. It is cast from 18-karat gold over sterling silver to add a pop of liveliness to your everyday outfits. Presented in 100% plastic-free, Vintouch signature packaging. Designed by Alessandro Ricevuto and handmade in her studio in Italy, her jewelry is inspired by the iconographic symbolism of Italian arts, history and culture. Each piece is created with extreme dedication to ensuring each piece is realized using the highest quality raw materials and centuries-old manufacturing techniques that have been passed down from father to son in the town of Torre del Greco, one of Italy's four famous jewelry districts. Measures 18 in. with 2 in. extender.