This is an attention grabbing labret monroe lip ring made from solid gold TITANIUM 6ALV-ELI (Grade 23) IMPLANT GRADE with a spike bead. The comfortable flat end measures 4mm. The size is available in 14 gauge or 16 gauge and your choice of 8mm-5/16, 10mm-3/8, or 12mm-1/2 of an inch. The entire piece is nickel free.