This is an excellent labret monroe lip ring jewelry with a clear gem made from 14K solid gold with a 3mm gem bead. The comfortable flat end measures 4mm. The size is available in your choice of 14 gauge or 16 gauge and length of 6mm- 1/4 , 8mm-5/16 or 10mm-3/8 of an inch. Can be used for multiple piercings that include cartilage, monroe, ear , etc.