I created this using the ancient Korean method called Keum Boo. It's a process in which 24 karat gold is fused to sterling silver. I also used reticulation to achieve the texture on the cuff. I drilled holes and added sterling silver wire to make the "stitches" and I made rivets and pins to attach the Keum Boo piece. This cuff is approximately 1.25" wide and is a standard 6" cuff which can be adjusted.