This keepsake bracelet is made with genuine soft white high-end Austrian simulated pearls and 14K Gold-plated beads! This is a high quality bracelet designed with sterling silver plated with 14K gold. Each bracelet has an extension chain, so as the child grows you just move to the next link for a perfect fit. This bracelet is available in three sizes and is great for infants, babies, toddlers, and kids. This bracelet comes in a beautiful gift box. Hand made in the USA!