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Our beautifully handcrafted Tattoo Aliao Shell Necklace come from Western Samoa, featuring traditional-inspired tattoo patterns carved into the shell. Each necklace is individually made, so patterns and details may vary slightly from piece to piece, making each one unique. Available Sizes: Small/Medium (~3.5" OR LESS) – $40.00 Large/XL (LARGER THAN ~3.5") – $55.00 Necklace length measures approximately 16" around. PLEASE NOTE - All tattoo patterns vary by individual piece. We will be processing orders based on what is currently available. If you are looking for a specific pattern or design, please contact us by email or phone before placing your order to check availability.