Professionally painted with Liquitex pro acrylics, individually glued faux gems, sequins, ribbons, pearls and metal charm embellishments. Sealed with a satin varnish. Approximately 20 inches in height from bone stick, to top of her lace and bat, flowered decorated skull. Although permanently attached, the skull itself is approximately 8 inches. Her custom details put this sugar skull, head and shoulders above the rest. Wear it, display it, or both. Was not created or meant for children.