Fabulous rare hand made Carved not enhanced natural red blood coral Memento Mori skull 14k gold. Can be worn by a man or a woman. Coral is natural and not enhanced. It is a Vintage/ antique item. It is not new. Any spots you can se are just a light reflections on the photo. The item in if fab preowned vintage/antique condition with patina and if desired can be polished to almost as new condition by a jeweler. I never polish authentic antique items and never remove any patina. It is ready to be worn or gifted /has no problems and will arrive in jewelry case. Size 9USA. Weight is approx 6+g. Made in Europe. Please see photos how it looks when worn and on the scale and for sizes and weight. Free priority insured shipping / smoke free environment. Thank you