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Antique Emerald Shirt Stud Set
Located in London, GB
Here we have an excellent antique shirt stud set. A trio of shirt studs have been crafted from a
Category

Early 20th Century Cufflinks

Materials

Emerald, 18k Gold, Yellow Gold

Sterling Silver and 18 Karat Gold Meteorite Shirt Studs Set with Black Diamonds
By Llyn strong
Located in Greenville, SC
A set of four, 18k white gold and sterling silver round meteorite shirt studs set with a 1.5mm
Category

2010s American Contemporary More Jewelry

Materials

Black Diamond, 18k Gold, White Gold, Sterling Silver

Oscar Heyman Platinum Sapphire and Diamond Horseshoe Shirt Studs, Set of 4
By Oscar Heyman
Located in New York City, NY
These fabulous Oscar Heyman horseshoe motif shirt studs (set of 4) are made in platinum and set
Category

2010s American Contemporary More Jewelry

Materials

Diamond, Sapphire, Platinum

Van Cleef and Arpels Lapis Yellow Gold Shirt Stud Set
By Van Cleef & Arpels
Located in Stamford, CT
Four piece shirt stud set in lapis and 18k gold from Van Cleef and Arpels. Rare complete four piece
Category

Late 20th Century Cufflinks

Materials

Lapis Lazuli, Gold, 18k Gold, Yellow Gold

Antique Mother-of-Pearl Shirt Stud Set
Located in London, GB
Here we have a handsome gent’s dress stud set comprised of six 13mm diameter mother-of-pearl discs
Category

Antique Early 1900s Cufflinks

Materials

Pearl, 15k Gold, Yellow Gold

Diamond Geometric Gold Shirt Stud Set Cufflinks
Located in Stamford, CT
Vintage 1950-1960 geometric double sided cuff links and shirt studs in 14k yellow gold with bright
Category

Vintage 1950s Cufflinks

Materials

Diamond, Gold, 14k Gold, Yellow Gold

Kieselstein-Cord Guardian Lion Foo Dog Cufflinks & 4 Shirt Studs Set
By KIESELSTEIN-CORD
Located in New York, NY
" (12mm) x 0.66" (17mm) shirt studs, 0.90" (23mm) x 0.98" (25mm) cufflinks.
Category

Early 2000s American Cufflinks

Materials

White Diamond, Yellow Gold

David Webb Ruby Enamel Yellow Gold Horse Head Shirt Stud Set
By David Webb
Located in New York, NY
These gorgeous David Webb shirt studs feature an elegant horse head design crafted in black enamel
Category

Vintage 1980s American Cufflinks

Materials

Ruby, Yellow Gold, Enamel

Classic Cufflinks And Shirt Studs Set 18Kt Yellow Gold With 1.80 Ctw In Rubies
Located in Miami, FL
Cufflinks and shirt studs suite with rubies. Gorgeous set of cufflinks and shirt studs. This
Category

Vintage 1980s Italian Modernist Cufflinks

Materials

Ruby, Gold, 18k Gold, Yellow Gold

14 Karat Yellow Gold Pave Diamond and Black Onyx Cufflink and Shirt Stud Set
Located in Scottsdale, AZ
Dimensions: cufflinks measure 14.5 x 14.50mm, shirt studs measure 10.25 x 10.25mm Weight: 26.40 grams
Category

21st Century and Contemporary Cufflinks

Materials

Diamond, Onyx, 14k Gold, Yellow Gold

Antique Enamel and Sterling Turtle Shirt Studs
Located in New York, NY
Great shirt studs: green enamel figural "turtle" shirt studs. Set of four. Sterling silver. A
Category

Vintage 1910s American Cufflinks

Materials

Sterling Silver

Quadrato Nero Stud Set with Black Swarovski Elements
By Tateossian
Located in Fulham business exchange, London
elements to your shirt with our Quadrato Nero cufflinks and shirt stud set. Finished within a gunmetal
Category

21st Century and Contemporary British Cufflinks

Materials

Enamel

Quadrato Nero Stud Set with Black Swarovski Elements
Quadrato Nero Stud Set with Black Swarovski Elements
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H 0.6 in W 0.12 in L 0.6 in
Emerald Cut Blue Topaz Grid Stud Earrings in Sterling Silver
By Dorian Webb
Located in Oakland, CA
to Greece, or if you're currently there, these blue topaz grid studs set in sterling silver will make
Category

2010s American Contemporary Stud Earrings

Materials

Blue Topaz, Sterling Silver

18k White Gold Black Rhodium 3.92ct Black Diamond Cufflinks
Located in New York, NY
Shirt Stud Set is the epitome of refined luxury. Crafted with precision and passion, these exquisite
Category

2010s American Cufflinks

Materials

Black Diamond, White Gold, Rhodium

Cartier Art Deco rock crystal cufflink dress set - 14kt. Gold, Platinum
By Cartier
Located in Braintree, GB
Vintage link style cufflinks and shirt studs set by Cartier, crafted in 14kt yellow gold and
Category

Vintage 1930s French Cufflinks

Materials

Crystal, Rock Crystal, Gold, 15k Gold, Platinum

Yoko London White and Golden South Sea Duet Earrings Set in 18 Karat Yellow Gold
By Yoko London
Located in London, GB
them extremely versatile; perfect for the modern woman. Pair them with jeans and a simple t-shirt in
Category

2010s British Contemporary Stud Earrings

Materials

Pearl, Cultured Pearl, South Sea Pearl, 18k Gold, Yellow Gold

1940s 12 Carat Aquamarine and 14K White Gold Earrings with Diamonds and Rubies
Located in New York, NY
carats of aquamarine (6ct in each), surrounded by a cluster of alternating rubies and diamonds, all set
Category

Vintage 1940s American Retro Stud Earrings

Materials

Aquamarine, Diamond, Ruby, 14k Gold

Antique Art Deco 14K Yellow Gold Platinum and Onyx Diamond Button Earrings
Located in Great Neck, NY
a set of cufflink shirt buttons. They are in incredible condition and have a striking look with the
Category

Antique Early 19th Century Unknown Art Deco Stud Earrings

Materials

Diamond, Onyx, 14k Gold, Yellow Gold, Platinum

Area Crystal-Trim Ruffle Crop Bustier Top
Located in Scottsdale, AZ
volume and a sense of theatrical flair to this striking top. What sets this piece apart is the signature
Category

2010s European Crop Tops

Unique Antique Sterling Shirt Studs
Located in New York, NY
Most whimsical set of four shirt studs: two figural "pigs" and two figural "armadillos." Solid
Category

Vintage 1910s American Cufflinks

Materials

Sterling Silver

Button Cufflink and Matching Shirt Stud Gold Dress Set Estate Fine Jewelry
Located in Montreal, QC
Classic Button Dress Set comprising a Pair of Cuff links and four matching Shirt Studs, highlighted
Category

21st Century and Contemporary Modern Cufflinks

Materials

18k Gold, Gold, Yellow Gold

Valentin Magro Textured Gold Frog Shirt Studs
By Valentin Magro
Located in New York, NY
Valentin Magro Textured Gold Frog Shirt Studs feature a whimsical design. The animals are shaped
Category

2010s Cufflinks

Materials

Gold, 18k Gold

Valentin Magro Textured Gold Frog Shirt Studs
Valentin Magro Textured Gold Frog Shirt Studs
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W 0.63 in D 0.48 in L 1.03 in
5.43 Carats Diamond Gold Platinum Shirt Studs Lapel Pin and Cuff Link Set
Located in Miami, FL
Platinum Shirt Studs, Lapel Pin & Cuff Links Set with 7 Marquise Cut Diamonds Weighing 2.93 Carats
Category

21st Century and Contemporary American Cufflinks

Materials

Diamond, White Diamond, 18k Gold, Platinum

Yellow Gold Initial C Men's Set of 3 Shirt Studs 14k Oval Monogram Script Letter
Located in Greensboro, NC
Metal Content: 14k Yellow Gold Style: Set of 3 Shirt Studs Theme: Initial C, Oval Monogram Script
Category

21st Century and Contemporary Cufflinks

Materials

14k Gold, Yellow Gold

Pair of Mauboussin Moonstone Shirt Studs Circa 1910-20
By Mauboussin
Located in ADELAIDE, SA
One pair of shirt studs each set with a moonstone and with a yellow gold sprung fitting. Housed in
Category

Vintage 1910s French Art Deco Cufflinks

Materials

Moonstone, 14k Gold

Carbon Gear Stud Set
By Tateossian
Located in Fulham business exchange, London
Carbon Gear stud set Inspired by mechanical watches movements, this timeless round shape in white
Category

21st Century and Contemporary British Cufflinks

Materials

Rhodium

Carbon Gear Stud Set
Carbon Gear Stud Set
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H 0.71 in W 0.24 in L 0.71 in
Round Shirt Studs Globetrotter - 18k White Gold - Falcon Grey Enamel
By Victor Mayer
Located in Pforzheim, DE
Victor Mayer round shirt studs, Globetrotter Collection, 18k white gold, dark turquoise vitreous
Category

21st Century and Contemporary German Edwardian Cufflinks

Materials

18k Gold, White Gold, Enamel

Antique 9ct Gold, Black Onyx & Diamond Shirt Button Hole Studs
Located in London, GB
Beautiful Antique Black Onyx & Diamond Antique Shirt Button Hole Studs with 9ct Gold backs The
Category

Antique 1870s American Late Victorian Cufflinks

Materials

9k Gold

Antique 9ct Gold, Black Onyx & Diamond Shirt Button Hole Studs
Antique 9ct Gold, Black Onyx & Diamond Shirt Button Hole Studs
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H 0.6 in W 0.6 in D 0.12 in Dm 0.36 in L 0.36 in
Tiffany & Co. 1970 Jean Schlumberger Cufflinks Shirt Studs 18Kt Gold & Malachite
By Jean Schlumberger for Tiffany & Co.
Located in Miami, FL
Cufflinks and shirt studs designed by Jean Schlumberger for Tiffany & Co. Gorgeous suite of
Category

Vintage 1970s American Modernist Cufflinks

Materials

Malachite, Gold, 18k Gold, Yellow Gold

Elizabeth Locke Yellow Gold Venetian Glass Cameo Cufflinks and Shirt Studs
By Elizabeth Locke
Located in Stamford, CT
Beautiful Elizabeth Locke Venetian glass animal cameo set in 18k gold cufflinks. The eight cameos
Category

21st Century and Contemporary Cufflinks

Materials

Gold, 18k Gold, Yellow Gold

Art Deco Ribbed Gold Stud Set
Located in New York, NY
White gold Striped Stud Set in 14k gold from the 1930's. Cufflinks with 3 shirt studs. Excellent
Category

Vintage 1930s American Art Deco Cufflinks

Materials

14k Gold

Art Deco Ribbed Gold Stud Set
Art Deco Ribbed Gold Stud Set
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W 0.5 in
Slate Pyrite Stud Set in Sterling Silver
By Tateossian
Located in Fulham business exchange, London
Slate Pyrite stud set in sterling silver This naturally occurring stone features small pieces of
Category

21st Century and Contemporary British Cufflinks

Materials

Sterling Silver

Slate Pyrite Stud Set in Sterling Silver
Slate Pyrite Stud Set in Sterling Silver
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H 0.65 in W 0.28 in L 0.65 in
Drusy Quartz Stud Set in Sterling Silver
By Tateossian
Located in Fulham business exchange, London
Drusy Quartz stud set in sterling silver Drusy quartz gems grow slowly over millions of years and
Category

21st Century and Contemporary British Cufflinks

Materials

Sterling Silver

Drusy Quartz Stud Set in Sterling Silver
Drusy Quartz Stud Set in Sterling Silver
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H 0.66 in W 0.26 in L 0.66 in
Onyx and Diamond Men's White Gold Stud Set Cufflinks with Three Studs
Located in Miami Beach, FL
Stunning stud set featuring diamond half circle set on top of an onyx half circle mounted in 14k
Category

20th Century Cufflinks

Materials

Diamond, Onyx, 14k Gold

Scalloped Stud Set with Black Diamond Swarovski Elements
By Tateossian
Located in Fulham business exchange, London
Scalloped stud set with black diamond Swarovski Elements These square, scalloped cufflinks are
Category

21st Century and Contemporary British Cufflinks

Scalloped Stud Set with Black Diamond Swarovski Elements
Scalloped Stud Set with Black Diamond Swarovski Elements
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H 0.56 in W 0.2 in L 0.56 in
Antique Diamond and Mother of Pearl Stud Set
Located in Riverdale, NY
Beautiful Diamond and Mother of Pearl Stud Set from the late 19th Century of French origin. High
Category

Early 20th Century French Edwardian Cufflinks

Materials

Diamond, 18k Gold, Platinum

Resin Gear Stud Set in Clear with Rhodium Finish
By Tateossian
Located in Fulham business exchange, London
Resin Gear stud set in clear with rhodium finish Varying sized recycled vintage gears are
Category

21st Century and Contemporary British Cufflinks

Materials

Rhodium

Resin Gear Stud Set in Clear with Rhodium Finish
Resin Gear Stud Set in Clear with Rhodium Finish
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H 0.67 in W 0.16 in L 0.67 in
Rollo Gold Leaf Stud Set in Black IP Steel
By Tateossian
Located in Fulham business exchange, London
Rollo Gold Leaf stud set in black IP steel Containing fine pieces of genuine 24 carat gold leaf
Category

21st Century and Contemporary British Cufflinks

Materials

Gold, Steel, Stainless Steel

Rollo Gold Leaf Stud Set in Black IP Steel
Rollo Gold Leaf Stud Set in Black IP Steel
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H 0.87 in W 0.32 in L 0.79 in
1910 Edwardian 8 Piece Pressed Glass Cufflink Stud Set
Located in Lexington, KY
This is a stellar Edwardian 8-piece stud set that features a vibrant, unique, and fun pressed glass
Category

Vintage 1910s Edwardian Cufflinks

Materials

Sterling Silver

Antique Silver Gilt & Paste Bee Stud Set in Original Box
Located in New York, NY
Adorable and whimsical: set of three figural "bee" shirt studs in the original fitted box. They
Category

Antique 1890s Unknown Cufflinks

Materials

Silver, Sterling Silver

Tiffany & Co. 14k Gold Black Onyx Agate Diamond Cufflinks 3 Shirt Button Set
By Tiffany & Co.
Located in Montclair, NJ
--Stone(s):-- (2) Natural Genuine Onyx - Pierced Disks Cut - Bezel Set - Black Color - 11.5mm
Category

21st Century and Contemporary Cufflinks

Materials

Agate, Diamond, Onyx, 14k Gold

Rotondo Guilloche Stud Set with Rose Gold Plated Stainless Steel
By Tateossian
Located in Fulham business exchange, London
Rotondo Guilloche stud set with white mother of pearl in rose gold plated stainless steel Inspired
Category

21st Century and Contemporary British Cufflinks

Materials

Gold Plate, Rose Gold, Steel, Stainless Steel

Art Deco 18K Gold & Platinum Onyx & Pearl Cufflinks & Collar Stud Set
Located in Staines-Upon-Thames, GB
An Art Deco set of pearl, onyx, platinum, and yellow gold cufflinks and dress studs / collar studs
Category

Vintage 1920s Art Deco Cufflinks

Materials

Onyx, Pearl, 18k Gold, Yellow Gold, Platinum

Art Deco Men's 18k Gold Black Onyx & Pearl Cuff Links 3 Shirt Button Set
Located in Montclair, NJ
--Stone(s):-- (7) Genuine Cultured Onyx - Round Disk Shape - Bezel Set - Black Color - 7.2mm & 13mm
Category

Vintage 1920s Art Deco Cufflinks

Materials

Onyx, Pearl, 18k Gold

Art Deco 1920s Platinum Frosted Rock Crystal and Sapphire Dress Stud Set
Located in Staines-Upon-Thames, GB
A set of four sapphire, rock crystal, and platinum dress studs, each comprising one round cabochon
Category

Vintage 1920s Art Deco Cufflinks

Materials

Rock Crystal, Sapphire, Platinum

David Webb 18k Yellow Gold & Crystal 6 Piece Cufflink and Stud Set
By David Webb
Located in New York, NY
a pair of cufflinks and 4 shirt studs. Each features a rope twist design and set with a polished
Category

Vintage 1970s American Modernist Cufflinks

Materials

Crystal, Yellow Gold

Art Deco 1920s 18K Gold &Platinum Mother of Pearl & Sapphire Dress Stud Set
Located in Staines-Upon-Thames, GB
karat yellow gold. This glamorous gentleman’s dress set comprises 4 dress studs, a pair of collar
Category

Vintage 1920s Art Deco Cufflinks

Materials

Sapphire, 18k Gold, Yellow Gold, Platinum

Rotondo Guilloche Stud Set with White Mother of Pearl in Stainless Steel
By Tateossian
Located in Fulham business exchange, London
Rotondo Guilloche stud set with white mother of pearl in stainless steel Inspired by the Guilloche
Category

21st Century and Contemporary British Cufflinks

Materials

Steel, Stainless Steel

Art Deco, 14 Karat Yellow Gold, Platinum & Sapphire Cufflink & Dress Stud Set
Located in Brisbane City, QLD
sapphires. The set comprises of a pair of cufflinks and three matched dress studs, all set with cabochon
Category

Early 20th Century American Art Deco Cufflinks

Materials

Sapphire, Gold, 14k Gold, Yellow Gold, Platinum

Graceland Black Silver Stud Wool Bellbottom Ranch Wear Rodeo Set - S-M, 1960s
Located in Tucson, AZ
trimmed in silver studs. Wool shirt features pointed collar, decorative breast flap pockets and
Category

1960s American Riding Clothing

Tiffany & Co. Yellow Gold Cuff & Stud Set in a Love Knot Motif, Vintage, c. 1970
By Tiffany & Co.
Located in Aspen, CO
Tiffany & Co. gentleman's cuff and stud set of spherical design called a love knot. The larger
Category

Vintage 1970s American Contemporary Cufflinks

Materials

14k Gold, Yellow Gold

Michael Kanners Poker Dress Set
By Michael Kanners
Located in Bal Harbour, FL
royal flush, while the four shirt studs each portray a different winning hand. No attention to detail
Category

2010s German Contemporary Cufflinks

Materials

Agate, 18k Gold

Michael Kanners Poker Dress Set
Michael Kanners Poker Dress Set
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W 0.6 in L 0.6 in
Michael Kanners Vintage Porsche Dress Set
By Michael Kanners
Located in Bal Harbour, FL
and the appropriate tire and wheel on the back. The four matching shirt studs complete the set for
Category

2010s German Contemporary Cufflinks

Materials

Onyx, Rock Crystal, 18k Gold

Michael Kanners Vintage Porsche Dress Set
Michael Kanners Vintage Porsche Dress Set
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H 0.32 in W 0.4 in L 0.99 in
Cartier 18ct Gold Gentleman’s Dress Set Circa 1920s
By Cartier
Located in London, GB
cufflinks, four buttons and three shirt studs, all designed with circular heads fully engraved with
Category

Early 20th Century French Cufflinks

Materials

18k Gold

Art Deco Spaulding & Co Platinum Moonstone Tuxedo Dress Set
By Spaulding And Co.
Located in Chicago, IL
set with very fine color Moonstone. The set includes: Cufflinks, Shirt Studs and Vest Studs, comes in
Category

Vintage 1930s American Art Deco Cufflinks

Materials

Moonstone, 14k Gold, Platinum

Vintage Platinum and 14K Yellow Gold Tuxedo Set #15305
Located in Washington Depot, CT
and four shirt studs crafted in mother of pearl set in classic platinum and 14K yellow gold. Size
Category

Late 20th Century Cufflinks

Materials

Yellow Gold, Platinum

Michael Kanners Rabbit Out of the Hat Dress Set
By Michael Kanners
Located in Bal Harbour, FL
studs in the form of top hats compete this elegant dress set. Described by Departures Magazine as
Category

2010s German Cufflinks

Materials

Onyx, 18k Gold

Michael Kanners Rabbit Out of the Hat Dress Set
Michael Kanners Rabbit Out of the Hat Dress Set
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W 0.38 in D 0.32 in L 1.11 in
Knights Templar Platinum Yellow Gold Enamel Men's Cufflinks Dress Set
Located in Stamford, CT
set is made of 14k yellow gold. 2 double sided cufflinks, 13.7mm or .51 inches 3 shirt studs, 8.5mm
Category

Early 20th Century Cufflinks

Materials

Gold, 14k Gold, Yellow Gold, Platinum, Enamel

Michael Kanners Carved Tourmaline and Gold Eagle Dress Set
By Michael Kanners
Located in Bal Harbour, FL
crystal and enamel eyes and 18kt yellow gold beaks. The spring back and the matching shirt studs are a
Category

2010s Italian Contemporary Cufflinks

Materials

Tourmaline, 18k Gold, Gold

Michael Kanners Carved Tourmaline and Gold Eagle Dress Set
Michael Kanners Carved Tourmaline and Gold Eagle Dress Set
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H 0.22 in W 0.56 in L 0.95 in
Tiffany & Co. Lapis Lazuli and Gold Dress-Set, circa 1970
By Tiffany & Co.
Located in London, GB
carat gold and platinum shirt studs, waistcoat buttons, link buttons, bar buttons, signet rings, stone
Category

Vintage 1970s American Contemporary Cufflinks

Materials

Lapis Lazuli, 18k Gold

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Shirt Stud Set For Sale on 1stDibs

Find the exact shirt stud set you’re shopping for in the variety available on 1stDibs. Frequently made of Gold, 14k Gold and Yellow Gold, this item was constructed with great care. In our selection of items, you can find a vintage example as well as a contemporary version. Finding the perfect shirt stud set may mean sifting through those created during different time periods — you can find an early version that dates to the 20th Century and a newer variation that were made as recently as the 21st Century. Creating a shirt stud set has been a part of the legacy of many jewelers, but those produced by Tiffany & Co., Van Cleef & Arpels and David Webb are consistently popular. A shirt stud set can be a stylish choice for most occasions, but Diamond rings, from our inventory of 16, can add a particularly distinctive touch to your look, day or night. A round cut version of this piece has appeal, but there are also cabochon and mixed cut versions for sale. Most of our shirt stud set for sale are for men, but there are 23 pieces available to browse for women.

How Much is a Shirt Stud Set?

On average, a shirt stud set at 1stDibs sells for $2,575, while they’re typically $245 on the low end and $33,000 for the highest priced versions of this item.

Finding the Right cufflinks for You

Cufflinks rose to popularity during the 1800s as fashionable men sought a refined and elegant solution for keeping their shirtsleeves together. Prior to this accessory, which initially materialized as a simple chain fastened to a button, men were lacing the ends of their sleeves with ribbon or string. Today, there are all manner of antique and vintage cufflinks that add flair and functionality to relaxed casual wear as much as they do for classy formal attire.

It wasn’t long before diamonds, emeralds and other precious gemstones began to appear on cufflinks, a means of adding ornament to clean and starched formal wear. When clothing manufacturers began to produce shirt cuffs and collars with more durable materials during the 19th century, a class of newer, stronger cufflinks gained credibility as being both essential and stylish. In the decades following this era’s design evolution, an entire industry bloomed around the craft of these subtle statement pieces.

Luxury brands more often associated with engagement rings and bracelets, such as Cartier and Tiffany & Co., have added cufflinks to their lines over the years, and jewelry designers, working in numerous styles, have explored the use of different materials and integrated a variety of ornamentation. Understated cufflinks of gold and platinum are guaranteed to cleanly complement any ensemble, while more niche designs allow the jewels to truly shine.

Cufflinks are practical pieces of jewelry that can also be very expressive. Consider the event for which you’re donning cufflinks and accessorize accordingly, but know that a distinctive pair of cufflinks, such as the colorful confections offered by Trianon, can pop against your dressy evening wear. Whether they’re geometric wonders of the Art Deco era, reliably relevant skull jewels or glittering accessories designed by Van Cleef & Arpels, adorned with the maison’s celebrated four-leaf clover or prominent animal motifs, you can delicately break from what can be a stuffy business meeting by introducing personality and pizzazz with a duo of nifty cufflinks.

A carefully chosen set of cufflinks can bring a stylish outfit together — literally. Find a large, luxurious collection of contemporary cufflinks as well as irresistible vintage pieces on 1stDibs today.

Questions About Shirt Stud Set
  • 1stDibs ExpertOctober 5, 2021
    A stud set is a stylish fastener that covers the top button of a tuxedo shirt. It is worn on formal and semi-formal occasions as per the event's dress code. A collection of stylish vintage stud sets can be found on 1stDibs.
  • 1stDibs ExpertNovember 14, 2023
    Most experts agree that a prong setting is best for diamond stud earrings. Prongs help keep diamonds securely in place. Three-prong settings allow for more of the diamond to remain visible, while four-prong settings may be slightly more secure. For diamond stud earrings with weights of 2 carats or more, a six- or eight-prong setting can increase stability and security. Explore a large selection of diamond stud earrings on 1stDibs.