This keepsake bracelet is made with a strand of sterling silver beads accented with a beautiful dainty sterling silver puff heart charm! A gorgeous classic she will cherish forever! Each bracelet has an extension chain, so as the child grows you just move to the next link for a perfect fit. This bracelet is available in three sizes and is great for infants, babies, toddlers, kids on up to tweens. Hand made in the USA!