No piercing needed to wear this ear cuff. It slips behind your ear and rest against your head, with the dangles showing below the massive sword charm. The upper part of cuff is fake, no need a cartilage piercing. It's very comfortable and easy to wear. Fits both for left and right ears. The length of knife charm is about 3 inches. Registered shipping worldwide. You`ll receive this jewelry in a gift packaging. Product color may be slightly different depending on the specifics of your monitor and settings. Please be careful with this item, don`t save it in damp places, take it off before shower or swimming. Thank you for viewing. If you have any questions about the item, please, contact me.