The Aerial Gold Beaded Medical Bracelet is simple yet elegant. Nice enough for evening wear and cool enough for a little black dress. The Yellow gold accent tube bead is surrounded by little black seed beads. All N-Style ID beaded medical bracelets should be removed before showering or water activities and are not recommended for everyday wear. For everyday wear, we recommend switching the beaded bracelet to one of our stainless steel chain bracelets Charms pictured are sold separately and will come attached to the yellow gold ID tag.