Grid silver helix cuff, 925 sterling silver ear crawler. This listing is for one (1) helix cuff that sits on mid or upper ear cartilage. It can be adjusted to different ear lobe shapes and also be combined with other earrings or duplicated along the ear globe as shown at the pictures. No piercing needed, just slide it through the helix cartilage until it fits, you can squeeze it a little to close it. *** Everyone's ears are different so if you think your ear cartilage is significantly smaller or larger than what is pictured please make a note with your order or contact me prior to ordering. Also, the ear cuff may fit you best in a different spot than what is pictured here, if this is not ok please contact me first so we can work together find your best fit before ordering. Carefully packaged and presented in a beautiful jewelry gift box.