THE CLEAR RIBBON IS THE UNIVERSAL SYMBOL FOR LUNG CANCER THESE RIBBONS ARE STERLING SILVER AND VERY EXPENSIVE. I have created many pieces of Awareness Jewelry, mostly in the form of Angels starting back in the 80's. Having lost a dear friend to Aids way back many years ago, I felt compelled to design Awareness Art. Please watch my store for more coming pieces for different causes. Lilli Heart Designs features crystal from Swarovski® This beautiful Vintage Swarovski Crystal Clear Heart Suncatcher will be a Limited Edition. Posted 11/3/2016 This beautiful Ribbon is Sterling Silver and set with Clear Swarovski Rhinestones, really sparkly. I hope you will consider making a statement by wearing or giving some of my Awareness Jewelry to make a statement of your own so that we may find cures for the future. The strand contains beautiful Swarovski Clear Beads. Size is as follows: From the top bead to the bottom of the heart is 5.75" full length including loop on top is 7.75". I will provide you with a length of ribbon to help you decide where you want to hang it. It makes it really easy to tie around the arm of your car rear view mirror. This would make a heartwarming present to anyone touched by Lung Cancer themselves or in their family. I lost my Brother to Lung Cancer I do combine shipping for added savings, so take a moment to view my other items, you just never know what you will find here. I make each one by hand and with Care and Love.