CEH Creations Cuffs are literally one of-a-kind pieces. Each cuff has a focal of gemstone, precious metal clay, handmade lamp-worked bead, shell or a unique design that is not to be repeated. The examples here are representative of the styles and stones used. Please contact us to see what styles and stones are currently in inventory. We can email you pictures for your review. If a specific stone or other focal is desired, we can work with you to create that one-of-a-kind piece to your specifications.