Celebrate your or your loved one's forth sober birthday. A dressy casual kind of piece with a very unique butterfly knot that sets off the round medallion beautifully. The genuine leather cord is warm and comfortable against the skin. Medallion necklaces are suitable for both men or women. Completely hand-etched and hand-knotted in my workshop, using a vintage 19th century technique that I rediscovered. Necklace reads: 4 Years, One Day At A Time.