This is our best selling Cartilage Ear Cuff for someone who wants their ear to realistically appear pierced. This piece requires no piercing, and fits comfortably and securely. We use only top quality metals. This ear cuff will ship to you in Sterling Silver, and is available in 14K Gold Vermeil upon request for $16.00 with a private listing . This Ear Cuff will is non directional and will fit the right or left side.