Medium Charm is made on a 16 guage disc and then attached on a casual upscale horsehair bracelet. The monogram disc and all its silver components on the bracelet are made in sterling silver. We make this bracelet coture style…your pick color and we size it to fit it comfortably on your wrist. This is a great bracelet for the equestrian enthusiast. The size of the monogram disc is the size of a nickel.