The focal piece of this necklace is a sterling silver anatomical heart charm. The heart measures 20 x 10 x 3.5mm. The heart is one sided but incredibly detailed, giving it a fairytale-like quality. The lovely charm hangs from sterling cable chain. Please use the drop menu to choose your length or type your length request in the comments of your order. This price point includes lengths up to 24 inches. This necklace would make a lovely gift and comes with a sweet gift box. Thank you for looking!