Sterling silver Autism Awareness Bracelet, accented with handmade bali beads, and genuine Swarovski crystal , ended in a beautiful heart toggle, and sterling puzzle charm. Our in stock bracelet measures 7 1/2 inch (standard size). Custom bracelets sizes are available 6" to 7 3/4". Just put desired bracelet size in the comment section which is located at the CHECKOUT page. Kindly allow a few extra days for custom bracelets.