this medium size is now discontinued - Vintage 90s Authentic Tiffany and Co. Sterling Silver X Original designs Featuring Paloma Picasso’s own handwriting, this expressive collection was inspired by graffiti scrawled on New York buildings. The universal symbol for a kiss, this X pendant and earrings are artfully graphic. See all photos for size comparison of x laying on top of a dime and ruler. measurements are approximate 3/8" at top and 1/2" at widest. Acquired in the 90's and the medium size of earrings are no longer available. I'm not familiar with the new sizes, but these are slightly bigger than 21st century small