A silver barbell for the top of the left ear.

Mei Jet Black Hair by Mechadollie
Eyes & Skin by DominicSava
Ultra thin eyebrows by V4NY
Skulls Tunic & Tights by Lollirot
Domino Necklace by Polystyrene
Nails by ShadowMagic
Black Ribbon Bracelet by sparkletones