This is a typical Italian Hand-made Shell Cameo. The Italian are so famous for the cameos. The shell is cut and prepared and used to bring out all the lovely features. The cameo is 1 1/2 inches high and 1 1/4 inches wide. Lovely open framework and interest in the four areas. This is a beautiful hand-made cameo with pretty hair and lovely pretty nose. For you from the high Plains of Kansas.