This triple lip piercing has sapphires, emeralds and rubys in it. Can be worn on most heads and can be worn with most other facial piercings. Please try with your head and other piercings to make sure it works for you before purchasing as there will be no refunds on this item. Remember, developers work hard to create high quality items. Please contact the developer if you find any problems, personnal or TOS, before flagging products. Remember to leave a review as this developer randomly gifts those who leave reviews. Thank you in advance for purchasing this item.