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Authentic Tiffany & Co. Elsa Peretti Sterling Silver Open Heart Ring Italian jewelry designer Elsa Peretti has been creating silver jewelry for Tiffany since 1974. Peretti's designs take on a youth-inspired aesthetic, with classic and modern pieces to be treasured for years to come. In excellent condition and can be polished at the Tiffany & Co store Ring size adjustable up to a size 8.