It is designed to be be worn with the skulls up

Large 7-8 inch wrist

I call them the Flor de Vida which means the Flower of Life

NEW MEXICO USA @ Sacred Heart Studio

Post backs or French hooks

PTH57 Multi Layer Cross Heart with Sword Pendant Formal It is designed to beTaking a cross and heart pendant to another level, literally. Using a floating overlay technique gives this amazingly detailed pendant a true artistic sculptural look. Wear a piece of art around your neck. Put it on your favorite beads or heavy chain. Made from sterling silver. Approx. 4 x 1. 5 inch with a large shepherd hook. "PRECIOUS METALS CREATIONS FROM THE HEART AND SOUL OF SANTA FE" Each item is made when ordered unless otherwise stated so