Only top, the labret is sold separately The pin system, as the name implies, comes with a pin instead of a rope so the tops snap in instead of screwing on. They tend to be more comfortable to remove and apply especially in more complex areas such as nostril. Material: Titanium ASTM-F 136 Compatible with gauges: 18, 16 and 14 g Top size: 4 mm Preferred piercing: Nostril, lobe, conch, helix, scapha, philtrum, monroe, lip, labret, tragus A very cute piece of preference in healed piercings. 📷 In photo: Labret 18g (not included) / 8mm / Arctic anodized Anodized colors may vary slightly from the photo and between pieces.