Titanium Double Ended Twist Side Facing Hinged Segment Clicker with Marquise CZ.?Manufactured from High Polish Implant Grade Titanium (Ti-6AL-4V-ELI ASTM F136).Create the illusion of multiple piercings in one hole with these Two Clear Cubic Zirconia Marquise twisting around in your choice of two sizes in this Titanium twisted hinge segment clicker.