Handmade in Haiti from recycled steel drums. Each purchase supports the artisan who handcrafted the piece. These are handmade items so each one is similar but not exact (each pattern could be different when ordering more than one). Since it's made from steel, the cuff opens and closes very easy. When you open it for a larger arm, it molds back in place. The cuff even works for smaller arms but not recommended for children's arms. Approximate 1 5/8" thick.