This is one of the biggest cameos I've seen. 2 3/4 inches high not counting top of enhancer and 1 3/4 wide. This is a hand-carved cameo from Italy. She is carved from a sea shell. She is held in a sterling marked 925 frame with a large portion that lifts up to enclose a pearl necklace or she can be worn as a brooch. She has a high arch and has lovely curls. A beautiful well cut cameo. There is a smeared 925 on the inside of the frame. For you from Kansas.