West Coast Jewelry Surgical Steel Nose Screw Gem Paved Flower - 18 GA (Sold Ind.) This listing is for ONE item Due to hygienic reasons all body jewelry sales are final High quality hypoallergenic stainless steel for someone whose skin is sensitive to metal. Arrives ready for gifting. Free gift packaging included. Shop with confidence. West Coast Jewelry has been a trusted seller for over 10 years and is dedicated to excellent customer service. Your satisfaction is 100% guaranteed.