This cuff is made of vegetable tanned drum dyed cow leather from Italy with a natural leather lining and is stitched with a matching colour thread. It is designed so the adjustment is underneath so it fits from a small wrist to a large very easily. I make it many colors so please ask. Since the buckle is stainless steel you do not have to worry about plating or a finish rubbing off, or even worse, an allergic reaction. This leather will look better with age. The edges are finished and burnished with a clear coat to show off the two leathers as well as look great! You can have it as is or with holes all the way around. Just mention your preference when you order