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These hexagon studs were made for me in CAD by Brandy Belenky from Generation Punk Jewelry. They are 5mm in diameter and hold a 4mm gem. The beaded setting and the millgrain are done by hand. This costs approximately triple in setting labor, so these studs will be a bit more pricey, even in silver. The center gems are tourmalines, 4mm in size, no treatment. These are African material, nice teal color.
Tourmaline is the birthstone of October.