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!