This choker is made from authentic water buffalo bone hairpipe beads, 6 mm round brass metal beads, 6 mm round synthetic beads, deerskin lace and genuine leather. The choker is approximately 12.5 inches long (not including laces). This is a traditional 4 strand tribal bone choker necklace. This jewelry is 100% handmade in the USA. We accept custom orders, just send us a message to discuss your ideas.