This is a glittering jeweled high polish TITANIUM 6ALV-ELI (Grade 23) IMPLANT GRADE labret monroe lip piercing jewelry with a 3mm jeweled bead available in your choice of black, pink, red, blue, or opal. The comfortable flat end measures 4mm.The size is 16 gauge and 10mm-3/8 of an inch. The entire piece is nickel free.