The metal sections of these bracelets are made from flat sheet that has been textured and domed.  Each one contains a contrasting metal accent and a set gemstone.  The pearls connecting the sections have to be drilled by hand to fit on 20 gauge sterling wire.  This design wears very well and, because of the assymetric nature of the pearls between the sections, it falls in a different position every time you look at your wrist.  The length can be adjusted at the time of purchase by adding/deleting pearls between the sections if the default length is not right for you.