4pk of Synthetic Opal Ball Steel Nose Screws Value Pack - choose 18g or 20g 4pk of Synthetic Opal Ball Steel Nose Screws - choose 18g or 20g Fast shipping - Select your desired gauge from the above menu Material: 316L Surgical Steel - Gem is Synthetic Opal Lot includes 1pc each in white, blue, pink and green Order a quantity of one gets you a 4 Pack - no substitutions