Cloud Medicine portrait necklace: hand-created in our studio in Salida, Colorado. Each piece is carefully sawed and soldered by hand. The Cloud Portrait features aquamarine, citrine, tourmaline, and white sapphire gemstones set in sterling silver. This necklace features our hybrid chain- meaning it is made with gemtone beads and sterling silver chain. The length of this necklace is 26 inches, including the pendant.