These Bladder Cancer awareness bracelets have pretty silver beads between a double thickness silver bar. It comes with a silver heart charm with a yellow ribbon and the words "Bladder Cancer Awareness ". This charm measures 5/8 inch by 5/8 inch. These sterling silver-plated bracelets are 7 1/2 inches with a toggle clasp and elastic so they stretch to fit most any size wrist. Each bracelet comes in a bag.