Professionally painted with Liquitex pro acrylics, individually glued faux gems, sequins, ribbons, pearls and metal charm embellishments. Sealed with a satin varnish. Approximately 25 inches in height from bone stick, to top of her Aztec feathered decorated skull. Although permanently attached, the skull itself is approximately 8 inches. Her custom Aztec medallion with ostrich feathers of black and red put this sugar skull, head and shoulders above the rest. Wear it, display it, or both. Was not created or meant for children.