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4 Carat Sapphire Ring

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Three Stone 4 Carat Sapphire Ring
Located in New York, NY
This three-stone 18K white gold ring is a true masterpiece, featuring a breathtaking 4.68 carat
Category

2010s Three-Stone Rings

Materials

Sapphire, Diamond, 18k Gold, White Gold

French Cut 4 Carat Sapphire Ring, Platinum
Located in New York, NY
A French Cut Sapphire, weighing appx 4 carats, mounted in a ring with diamonds. The ring is crafted
Category

20th Century Three-Stone Rings

Materials

Sapphire, Platinum

Platinum 4 carat Emerald Cut Sapphire Ring
Located in METAIRIE, LA
Featuring a central 4 carat Emerald cut Blue Sapphire, with a slight Green tinge, at 9.5mm in
Category

Vintage 1970s Engagement Rings

Materials

Diamond, Sapphire, Blue Sapphire, Platinum

Sapphire Diamond Art Deco Inspired Ring 4 Carat Platinum
Located in New York, NY
flanked with blue sapphires weighing approximately 1 carat. Great looking on the finger! The ring
Category

Mid-20th Century American Art Deco Cocktail Rings

Materials

Diamond, Blue Sapphire, Sapphire, Platinum

Vivid 4 Carat Yellow Sapphire Art Deco Ring
Located in Santa Barbara, CA
This vibrant ring surely adds a drop of sunshine to your hand! Centered on a vivid, 4 carat flaming
Category

Vintage 1920s Art Deco Engagement Rings

Materials

Diamond, Yellow Sapphire, Platinum

4 carats, Pink and Blue Ceylon Sapphire round bypass ring.
Located in Los Angeles, CA
18K white gold ring, featuring a 2.40-carat Ceylon Blue Sapphire paired with a 1.60-carat Pink
Category

21st Century and Contemporary American Modern Bridal Rings

Materials

Diamond, Sapphire, Blue Sapphire, Pink Sapphire, Gold, 18k Gold, White Gold

Certified 4 Carat Padparadscha Sapphire Oval Diamond Ring No Heat
By Antinori Fine Jewels
Located in Rome, IT
Imagine an exquisite ring featuring a central 4 carat oval padparadscha sapphire, one of the rarest
Category

2010s Unknown Contemporary Cocktail Rings

Materials

Diamond, White Diamond, Sapphire, Padparadscha Sapphire , 18k Gold, Rose...

4 Carat Oval Cut Blue Sapphire Ring Certified
Located in New York, NY
Center Blue Sapphire: Carat Weight: 2.18 Carats Color: Blue Sapphire - Diffused J’adore Sapphire
Category

2010s American Cocktail Rings

Materials

Diamond, Blue Sapphire, 18k Gold, White Gold

4 Carat Oval Cut Sapphire Ring Certified Pink
Located in New York, NY
Center Pink Sapphire: Carat Weight: 3.56 Carats Color: Pink Sapphire - Diffused J’adore Sapphire
Category

2010s American Cocktail Rings

Materials

Pink Sapphire, Diamond, 18k Gold, White Gold

Vintage GIA Certified 4 Carat Ceylon Sapphire & Diamond Platinum Ring
By Gad & Co.
Located in Miami, FL
GIA Certified Vintage Sapphire and Diamond Platinum Ring. Ideal as a man's pinky ring or a woman's
Category

20th Century Sri Lankan Contemporary Cocktail Rings

Materials

Diamond, Sapphire, Platinum

Antique Art Nouveau 4 Carat Cabochon Sapphire Engagement Ring
Located in Santa Barbara, CA
Year: 1910s Metal: Platinum & 14k Yellow Gold Gemstone: Sapphire Carat Weight: 4.59 Cut: Cabochon
Category

Vintage 1910s Art Nouveau Engagement Rings

Materials

Diamond, Sapphire, Blue Sapphire, 14k Gold, Platinum

Sapphire Star Cabochon 4 Carat 14k Gold Cocktail Ring
Located in Scottsdale, AZ
Beautiful mid-20th century 14k Gold ring featuring a Cabochon cut 4 carat Star Sapphire center
Category

Mid-20th Century Unknown Cocktail Rings

Materials

Emerald, Star Sapphire, 14k Gold

GIA GRS Certified 4 Carat Oval Blue Sapphire Diamond Platinum Ring
By Antinori Fine Jewels
Located in Rome, IT
GIA GRS Certified 4 Carat Oval Blue Sapphire Diamond Platinum Ring
Category

2010s Modern Engagement Rings

Materials

Diamond, White Diamond, Blue Sapphire, Platinum

GIA Certified 2.63 Carat Diamond with 4 Carats of Blue Sapphires Platinum Ring
Located in Miami, FL
. The Sapphires are Sugar Loaf Cut. There are 40 individual stones with the approximate weight of 4
Category

2010s Fashion Rings

Materials

Blue Sapphire, Diamond, Sapphire, Platinum

Certified 4 Carat Yellow Sapphire & Diamond Halo Ring 'Natural & Untreated'
Located in London, GB
Step into a world of sophistication with our 4 carat Natural & Unheated Yellow Sapphire ring, a
Category

21st Century and Contemporary English Modern Engagement Rings

Materials

Diamond, Yellow Sapphire, 18k Gold

4 Carat Tanzanite Sugar Loaf Ruby Sapphire Colorful 18K Ring
By Malpani Jewels
Located in Hung Hom, HK
. 0.52 carat of round sapphire are set in this 18K gold colorful ring.
Category

2010s Hong Kong Art Deco Cocktail Rings

Materials

Ruby, Sapphire, Tanzanite, 18k Gold

4 Carat Blue Sapphire & Diamond Fashion Ring 14 Karat Gold 3.75ct Cocktail Ring
By Five Star Jewelry
Located in Austin, TX
for custom ring size orders) Total Carat Weight: 3.82 Carats, Blue Sapphires and White Diamonds
Category

2010s American Modern Fashion Rings

Materials

Blue Sapphire, Diamond, White Diamond, Gold, White Gold, 14k Gold

Vintage 4 Carat Tanzanite, Emerald And Sapphire Cabochon Ring Cocktail Gold Ring
By Royaal Stones Ltd
Located in Bangkok, Thailand
surrounded by emeralds of Colombian origin , diamonds and then round blue vivid blue sapphires . The ring
Category

2010s Early Victorian Cocktail Rings

Materials

Emerald, Sapphire, Tanzanite, Gold

4 Carat Emerald Cut Aquamarine & Sapphire Art Deco Style Engagement Ring
Located in Santa Barbara, CA
Sapphires = 3.00 Carats Total Ring Size: 7, sizeable Rise Above Finger: 7.7mm Ring Face: 11.2mm x 9.8mm
Category

2010s Art Deco Engagement Rings

Materials

Aquamarine, Sapphire, Blue Sapphire, Platinum

1 Carat Pink Sapphire and 4 Carat Diamond 18 Karat White Gold Ring, Estate
Located in New York, NY
A classic, Cocktail ring Approximately 1 Ct natural Pink sapphire and Approximately 4 Ct Diamond
Category

Early 2000s Cocktail Rings

Materials

Diamond, Pink Sapphire, 18k Gold, White Gold

GIA GRS CEYLON NO HEAT Certified 4 Carat Blue Sapphire Diamond Ring
By Antinori Fine Jewels
Located in Rome, IT
. Weighing 4.17 carats, this oval-shaped sapphire boasts dimensions of 9.68 x 6.57 x 6.74 mm, expertly
Category

2010s Italian Modern Engagement Rings

Materials

Diamond, White Diamond, Blue Sapphire, Platinum

GIA Certified 4 Carat Oval Blue No Heat Ceylon Sapphire Diamond Ring
By Antinori Fine Jewels
Located in Rome, IT
GIA certified oval cut blue sapphire is completely unheated and displays striking, vibrant blue
Category

2010s Italian Modern Solitaire Rings

Materials

Sapphire, White Diamond, Diamond, Platinum

Vintage Men’s 4 Carat Sapphire and Ruby Statement Ring 14 Karat
Located in Miami, FL
Vintage Men’s 4 Carats Sapphire & Ruby Statement Ring. The ring has a sparking beauty made for the
Category

Vintage 1980s Cocktail Rings

Materials

Ruby, Sapphire, 14k Gold, Yellow Gold

No Heat GIA GRS Certified 4 Carat Blue Oval Sapphire Diamond Ring
By Antinori Fine Jewels
Located in Rome, IT
An exquisite 0val sapphire certified by GRS and GIA. Sri Lanka origin No treatments
Category

2010s Italian Modern Engagement Rings

Materials

Diamond, White Diamond, Sapphire, 18k Gold

No Heat GIA GRS Certified 4 Carat Blue Oval Sapphire Diamond Ring
By Antinori Fine Jewels
Located in Rome, IT
An exquisite 0val sapphire certified by GRS and GIA. Sri Lanka origin No treatments
Category

2010s Italian Modern Engagement Rings

Materials

Diamond, White Diamond, Sapphire, 18k Gold

14 Karat Gold Round Near Colorless Sapphire Solitaire Ring Center-3/4 Carat
Located in San Francisco, CA
: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.69 Center Gemstone Measurements
Category

21st Century and Contemporary American More Rings

Materials

Sapphire, Yellow Gold

1.88 Carat Blue Sapphire Platinum Ring
By EstatebyJR
Located in New York, NY
Introducing our exquisite 1.88 Carat Sapphire Ring, a true embodiment of natural beauty and
Category

21st Century and Contemporary Modern Engagement Rings

Materials

Blue Sapphire, Platinum

14K Yellow Gold Square Lavender Sapphire Vintage Diamond Ring Center-4/5 Carat
Located in San Francisco, CA
! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.86 Center Gemstone
Category

21st Century and Contemporary American More Rings

Materials

Diamond, Sapphire, Yellow Gold

14 Karat Gold Square Lavender Sapphire Rustic Diamond Ring Center, 4/5 Carat
Located in San Francisco, CA
! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.86 Center Gemstone
Category

21st Century and Contemporary American More Rings

Materials

Sapphire, Diamond, Yellow Gold

4 Carat Vintage Inspired with Step Cut Blue Sapphire Ring Certified
Located in New York, NY
Center Blue Sapphire: Carat Weight: 3.15 Carats Color: Blue Sapphire - Diffused J’adore Sapphire
Category

2010s American Cocktail Rings

Materials

Diamond, Blue Sapphire, 18k Gold, White Gold

14 Karat Yellow Gold Asscher Blue Sapphire Solitaire Ring Center, 3/4 Carat
Located in San Francisco, CA
: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.73 Center Gemstone Measurements
Category

21st Century and Contemporary American More Rings

Materials

Diamond, Blue Sapphire, Yellow Gold

Aries Calm Sapphire-4 Bloom Ring
Located in Los Angeles, CA
Sapphire with invisible floral design with illusion diamond center ring, all with a high polish
Category

2010s American Modern Fashion Rings

Materials

18k Gold, White Gold

1-3/4 Carat Yellow & Pink Sapphire & White Diamond Bypass 14K White Gold Ring
By Affinity Designs LLC
Located in New York, NY
Indulge in the splendor of our Yellow & Pink Sapphire and White Diamond Bypass 14K White Gold Ring
Category

2010s Asian Art Deco Cluster Rings

Materials

White Diamond, Pink Sapphire, Yellow Sapphire, White Gold

14 Karat Gold Cushion Teal Sapphire Vintage Diamond Ring Center, 3/4 Carat
Located in San Francisco, CA
person! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.7 Center
Category

21st Century and Contemporary American More Rings

Materials

Diamond, Sapphire, Yellow Gold

14 Karat Yellow Gold Cushion Pink Sapphire Vintage Diamond Ring Center-3/4 Carat
Located in San Francisco, CA
the difference in person! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat
Category

21st Century and Contemporary American More Rings

Materials

Pink Sapphire, Diamond, Sapphire, Yellow Gold

Yellow and Pink Sapphire Cocktail Ring 4 Carat in 22 Karat Gold
By Pamela Farland
Located in New York, NY
This brightly colored fancy yellow and pink Sapphire cocktail ring will add sparkle to any occasion
Category

21st Century and Contemporary American Artist Cocktail Rings

Materials

Pink Sapphire, Yellow Sapphire, Gold, 22k Gold, Yellow Gold

14 Karat Gold Round Pink Sapphire and Diamond Vintage Ring Center, 1/4 Carat
Located in San Francisco, CA
! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.25 Center Gemstone
Category

21st Century and Contemporary American More Rings

Materials

Diamond, Sapphire, Yellow Gold

4 Carat Oval Pinkish Purple Sapphire Diamond Gold Cocktail Ring with GIA Cert
Located in Miami Beach, FL
Glamorous sapphire and diamond cluster ring containing an oval pinkish purple sapphire weighing
Category

Late 20th Century Unknown Cocktail Rings

Materials

Diamond, Sapphire, Purple Sapphire, 18k Gold, Gold

14 Karat Gold Round Yellow Sapphire Halo Vintage Diamond Ring Center-4/5 Carat
Located in San Francisco, CA
person! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.85 Center
Category

21st Century and Contemporary American More Rings

Materials

Yellow Sapphire, Diamond, Yellow Gold

14 Karat Yellow Gold Round Blue Sapphire and Diamond Ring Center, 1/4 Carat
Located in San Francisco, CA
! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.27 Center Gemstone
Category

21st Century and Contemporary American More Rings

Materials

Blue Sapphire, Diamond, Yellow Gold

2.00 Carat Sapphire Platinum Ring
Located in Atlanta, GA
Ring Size: 6 Metal Type: Platinum [Hallmarked, and Tested] Weight: 4 grams Center Star Sapphire
Category

Vintage 1940s Unknown Art Deco Engagement Rings

Materials

Sapphire, Platinum

14 Karat Gold Cushion Pink Sapphire and Diamond Halo Ring Center 3/4 Carat
Located in San Francisco, CA
! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.75 Center Gemstone
Category

21st Century and Contemporary American More Rings

Materials

Sapphire, Diamond, Yellow Gold

14 Karat Yellow Gold Emerald Pink Sapphire Vintage Diamond Ring Center-3/4 Carat
Located in San Francisco, CA
person! Product details: Center Gemstone Type: SAPPHIRE Center Gemstone Carat Weight: 0.72 Center
Category

21st Century and Contemporary American More Rings

Materials

Diamond, Emerald, Pink Sapphire, Yellow Gold

GIA 2.94 Carat Sapphire Sapphire Diamond Platinum Three-Stone Engagement Ring
Located in Stamford, CT
Cornflower Blue Oval Sapphire and diamond engagement ring. GIA certified 2.49cts oval center stone
Category

21st Century and Contemporary Engagement Rings

Materials

Blue Sapphire, Diamond, Sapphire, Platinum

.50 Carat Sapphire Platinum Engagement Ring
Located in Atlanta, GA
Item Details:  Ring Size:4 Metal Type: Platinum Weight: 3.5 grams Center Sapphire Details Shape
Category

Vintage 1910s Unknown Edwardian Engagement Rings

Materials

White Diamond, Sapphire, Blue Sapphire, Platinum

Unheated Platinum Sapphire Ring, 5.08 Carat Sapphire GIA Certified
Located in Tampa, FL
New platinum custom sapphire ring containing an oval cut untreated blue sapphire measuring 9.65 x
Category

2010s Unknown Engagement Rings

Materials

Diamond, Sapphire, Blue Sapphire, Platinum

4 Carat Oval Blue Sapphire Three-Stone Ring in White Gold
Located in London, GB
A sleek three-stone 18k white gold ring with a 4 carat deep blue sapphire at its centre beautifully
Category

2010s British Contemporary Three-Stone Rings

Materials

Diamond, Blue Sapphire, 18k Gold, White Gold

2.01 Carat Sapphire 0.60 Carat Diamond Engagement Ring
Located in New York, NY
. The ring is size 6 3/4 but it can be resized. Inventory #32539WOBS
Category

20th Century Engagement Rings

Materials

Sapphire, Platinum

14k 1 Carat Green Sapphire Ring Set
By Rose and Choc
Located in Wallingford, CT
Green sapphire adorned with diamond accents. Set of two rings Metal: 14K Yellow Gold Stone: Green
Category

2010s American Art Deco Engagement Rings

Materials

Green Sapphire, 14k Gold

1.06 Carat Diamond Sapphire Platinum Engraved Engagement Ring
Located in Stamford, CT
diamonds and 4 transitional cut sapphires in a handmade platinum setting. Pierced and hand engraved with
Category

Antique Late 19th Century More Rings

Materials

Sapphire, Blue Sapphire, Diamond, Platinum

4 Carat Emerald Cut Ceylon Blue Sapphire & Diamond Platinum Three Stone Ring
By Gems and Jewels UK
Located in Birmingham, GB
Fine Natural 'Velvet' Blue Emerald Cut Ceylon Sapphire & Diamond Three Stone Platinum Ring. Large
Category

21st Century and Contemporary Three-Stone Rings

Materials

Sapphire, Blue Sapphire, Diamond, White Diamond, Platinum

3.51 Carat Sapphire Cabochon 0.58 Carat Diamond Ring in Platinum
By EstatebyJR
Located in New York, NY
Elevate your style with our exquisite 3.51 Carat Sapphire Cab Ring, a timeless masterpiece that
Category

21st Century and Contemporary Modern Cocktail Rings

Materials

White Diamond, Blue Sapphire, Diamond, Platinum

18.33 Carat Ceylon Unheated Sapphire Ring
By Mehnaz Durrani
Located in Richmond, BC
Glamorous unheated sapphire diamond cocktail ring. Lively "cornflower blue", Ceylon origin, high
Category

21st Century and Contemporary Canadian Contemporary Cocktail Rings

Materials

Diamond, Sapphire, 18k Gold

.53 Carat Oval Sapphire Diamond Engagement Ring
Located in Stamford, CT
Sapphire and diamond engagement ring. Side set oval center sapphire in 14k white gold setting with
Category

21st Century and Contemporary Engagement Rings

Materials

Diamond, Sapphire, Gold, 14k Gold, White Gold

8.00 Carat Cabochon Sapphire Men's Ring
Located in New York, NY
Finely crafted in platinum with a 8.00 carat Cabochon Sapphire. Size 6 3/4, resizable.
Category

20th Century More Rings

Materials

Sapphire, Platinum

5.13 Carat Sapphire 1.50 Carat Diamond Engagement Ring
Located in New York, NY
measures 17mm by 15mm. The ring is stamped 18K 750 and weighs 6.6 grams. The ring is size 6 3/4 but it can
Category

20th Century Engagement Rings

Materials

Diamond, Sapphire, 18k Gold

Amazing 5.50 Carat Sapphire Diamond Ring
Located in New York, NY
Made of platinum, this ring is centered with a natural cushion cut sapphire that weighs
Category

20th Century Engagement Rings

Materials

Diamond, Sapphire, Platinum

Platinum 1.4 Carat Blue Sapphire Sculpture Ring
By Thomas Kurilla Jewelry
Located in New York, NY
Platinum 7 mm Sapphire Sculpture Ring , Tiffany designer, Thomas Kurilla is going back to the vault
Category

2010s Contemporary Fashion Rings

Materials

Blue Sapphire, Sapphire, Platinum

3 Carat Sapphire Diamond Platinum Ring
Located in New York, NY
This fabulous platinum ring ring is centered with a lovely emerald cut sapphire that weighs 3.00ct
Category

20th Century Cluster Rings

Materials

Sapphire, Diamond, Platinum

Vintage 2.50 Carat Sapphire 1 Carat Diamond Gold Ring
Located in Napoli, Italy
- Excellent METAL: 18k White Gold GEM STONE: Diamond 1. total carats - Sapphire 2.50 tot. cts. RING SIZE: US
Category

Vintage 1980s Band Rings

Materials

Diamond, Sapphire, Blue Sapphire, 18k Gold, Gold

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4 Carat Sapphire Ring For Sale on 1stDibs

You are likely to find exactly the 4 carat sapphire ring you’re looking for on 1stDibs, as there is a broad range for sale. Every item for sale was constructed with extraordinary care, often using Gold, 18k Gold and Platinum. You can easily find a 4323 antique edition and 5805 modern creations to choose from as well. Finding the perfect 4 carat sapphire ring may mean sifting through those created during different time periods — you can find an early version that dates to the 18th Century and a newer variation that were made as recently as the 21st Century. For this particular accessory, there are many different carat weights to choose from, but .5 Carat and 1 Carat versions are of considerable interest. A 4 carat sapphire ring from LB Exclusive, Roshe Jewels and Peter Suchy — each of whom created a beautiful version of this treasured accessory — is worth considering. Today, if you’re looking for an oval cut version of this piece and are unable to find the perfect match, our selection also includes round cut and cushion cut alternatives. When shopping for a 4 carat sapphire ring, you’ll find that there are less available pieces for unisex or men today than there are for women.

How Much is a 4 Carat Sapphire Ring?

On average, a 4 carat sapphire ring at 1stDibs sells for $5,893, while they’re typically $27 on the low end and $6,500,000 for the highest priced versions of this item.

Finding the Right Rings for You

Antique and vintage rings have long held a special place in the hearts of fine jewelry lovers all over the world.

No matter their origin or specific characteristics, rings are timeless, versatile accessories. They’ve carried deep meaning since at least the Middle Ages, when diamond rings symbolized strength and other kinds of rings were worn to signify romantic feelings or to denote an affiliation with a religious order. Rings have also forever been emblematic of eternity.

Over time, rings have frequently taken the form of serpents, which have long been associated with eternal life, health and renewal. Italian luxury jewelry house Bulgari has become famous for its widely loved Serpenti motif, for example, and its Serpenti ring, like the other accessories in the collection, began as an homage to jewelry of the Roman and Hellenistic eras. The serpent is now a popular motif in fine jewelry. Jewelry devotees have long pined for rings adorned with reptiles, thanks to antique Victorian rings — well, specifically, Queen Victoria’s illustrious engagement ring, which took the form of a gold snake set with rubies, diamonds and an emerald (her birthstone). Designs for Victorian-era engagement rings often featured repoussé work and chasing, in which patterns are hammered into the metal.

Engagement rings, which are reliably intimidating to shop for, are still widely recognized as symbols of love and commitment. On 1stDibs, a range of buying guides can be found for those in the market for antique engagement ringsvintage engagement rings or Art Deco engagement rings

The most collectible antique engagement rings and vintage engagement rings are those from the Victorian, Edwardian and Art Deco eras. Named for the monarchies of the four King Georges, who in succession ruled England starting in 1714 (plus King William’s reign), antique Georgian rings, be they engagement rings or otherwise, are also coveted by collectors. Pearls, along with colored gemstones like garnets, rubies and sapphires, were widely used in Georgian jewelry. The late-1700s paste jewelry was a predecessor to what we now call fashion or costume jewelry

The Art Nouveau movement (1880–1910) brought with it rings inspired by the natural world. Antique Art Nouveau rings might feature depictions of winged insects and fauna as well as women, who were simultaneously eroticized and romanticized, frequently with long flowing hair. Art Deco jewelry, on the other hand, which originated during the 1920s and ’30s, is by and large “white jewelry.” White metals, primarily platinum, were favored over yellow gold in the design of antique Art Deco rings and other accessories as well as geometric motifs, with women drawn to the era’s dazzling cocktail rings in particular.

Whether you’re hunting down a chunky classic for a Prohibition-themed cocktail party or seeking a clean contemporary design to complement your casual ensemble, find an exquisite collection of antique, new and vintage rings on 1stDibs.

Questions About 4 Carat Sapphire Ring
  • 1stDibs ExpertApril 5, 2022
    The highest carat sapphire to ever be discovered is the Blue Giant of the Orient, as of January 2022. It weighs 486.52 carats and originated from a mine in Ratnapura, Sri Lanka. On 1stDibs, shop a large selection of sapphire gemstone jewelry.
  • 1stDibs ExpertApril 5, 2022
    Whether or not a 4-carat ring is big is largely a matter of personal opinion. However, 4-carat stones usually do have larger dimensions. Diamonds of this size are usually quite expensive due to their size. Shop a large selection of gemstone rings on 1stDibs.