Flawless round Tahitian pearls set with blue round sapphire on the top and dangling down on pear shape lab-grown diamond studs. 
14k yellow gold setting. 
Sapphire measures: 3.5mm

Tahitian pearl measures: 11.5-12mm 

Pear shape lab-grown diamond measures: 0.38 cts 

Handcrafted at Mabel’s San Francisco atelier.