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Tiffany Co. Diamond 18k Yellow Gold Moon Round Pendant Charm
By Tiffany Co.
Located in New York, NY
Mint condition -18 k yellow gold -Length: 16” -Moon diameter: 0.5” -Comes with Tiffany box
Category

21st Century and Contemporary Pendant Necklaces

Materials

Diamond, Yellow Gold

Estate Tiffany Co. 18K Gold Enamel Akoya Pearl Oyster Pendant Charm, 2001
By Tiffany Co.
Located in New York, NY
Vintage Tiffany & Co. 18K yellow gold and multi-colored enamel oyster pendant charm opening to
Category

Early 2000s American Romantic Pendant Necklaces

Materials

Cultured Pearl, Pearl, Gold, 18k Gold, Enamel

Tiffany Co. Sagittarius Gold Zodiac Pendant Charm
By Tiffany Co.
Located in Greenwich, CT
This Tiffany & Co. Sagittarius charm, for those born between November 22-December 21, features a
Category

Vintage 1970s Italian Drop Necklaces

Materials

18k Gold

Tiffany Company Pearl and Diamond Charm Necklace, 18K Yellow Gold Length 16 In
By Tiffany Co.
Located in McLeansville, NC
This exquisite Tiffany & Company pearl and diamond charm necklace is the perfect addition to any
Category

Early 2000s Pendant Necklaces

Materials

Diamond, Pearl, 18k Gold, Yellow Gold

Tiffany Co Schlumberger Turquoise Egg Charm Estate 18k Yellow Gold Pendant
By Jean Schlumberger for Tiffany Co.
Located in Torrance, CA
Finely detailed vintage Tiffany & Co Schlumberger turquoise egg charm crafted in 18k yellow gold
Category

Late 20th Century Unknown Modern Pendant Necklaces

Materials

Turquoise, 18k Gold, Yellow Gold

Tiffany Co. Gold and Gem Set Suitcase Charm Pendant
By Tiffany Co.
Located in Chicago, IL
Circa 2010 Tiffany & Company 18k Yellow Gold Suite case Charm Pendant, measuring 5/8 X 1/2 X 3/8
Category

2010s American More Jewelry

Materials

18k Gold

Vintage Tiffany Co. 18 Karat Yellow Gold Present Charm
By Tiffany Co.
Located in New York, NY
A vintage closed box with bow present charm made in 18k gold by Tiffany & Co. circa 2000. This
Category

21st Century and Contemporary American Modern Pendant Necklaces

Materials

18k Gold, Yellow Gold

Tiffany Co Small Heart Charm 18k Gold Paloma Picasso Loving Heart Pendant
By Paloma Picasso for Tiffany Co.
Located in Torrance, CA
Elegant and finely detailed pre-owned Tiffany & Co 18k gold loving heart charm. The small heart
Category

Mid-20th Century Unknown Modern Pendant Necklaces

Materials

18k Gold, Yellow Gold

Tiffany Co. 1837 Padlock Charm Bracelet
By Tiffany Co.
Located in Palm Springs, CA
Padlock charm bracelet in 18k gold by Tiffany Co. Bracelet measures 7 7/8" long and
Category

Early 2000s American Chain Bracelets

Materials

18k Gold

Tiffany Co. Diamond Red Enamel Platinum 18K Heel Shoe Charm Pendant Necklace
By Tiffany Co.
Located in Simpsonville, SC
The Tiffany & Co. Diamond Red Enamel Platinum High Heel Shoe Charm Pendant Necklace is a striking
Category

21st Century and Contemporary Pendant Necklaces

Materials

Diamond, Gold, 18k Gold, White Gold, Platinum, Enamel

Tiffany Co. Sterling Silver Gold Mini Pad Lock Pendant Charm
By Tiffany Co.
Located in Baltimore, MD
Tiffany & Co. Sterling Silver & Gold Mini Pad Lock Pendant Charm Metal: Sterling silver & 18k rose
Category

21st Century and Contemporary Modern Pendant Necklaces

Materials

Gold, 18k Gold, Rose Gold, Sterling Silver

Tiffany Co. Tiffany Love Moon and Star Charm Necklace in 18 Karat Rose Gold
By Tiffany Co.
Located in Scottsdale, AZ
This beautiful Tiffany & Co. charm necklace in 18 karat rose gold is a delicate and whimsical piece
Category

21st Century and Contemporary Unknown Contemporary Pendant Necklaces

Materials

Gold, 18k Gold, Rose Gold

Tiffany Co. Turquoise Gold Egg Charm Necklace
By Jean Schlumberger for Tiffany Co.
Located in Bethesda, MD
elegantly accents this delicate turquoise charm. Size small 22X13mm, 18 karat gold. Tiffany & Co 18kt
Category

Early 2000s Unknown Drop Necklaces

Materials

Turquoise, 18k Gold

Tiffany Co. Return to Tiffany Heart Tag and Key Charms Bracelet in Rose Gold
By Tiffany Co.
Located in Scottsdale, AZ
tag and 2 skeleton keys, this delicate 18 karat rose gold beauty is simple yet stunning. Metal: 18K
Category

21st Century and Contemporary Italian Contemporary Chain Bracelets

Materials

Gold, 18k Gold, Rose Gold

Tiffany Co. Heart Tag 18 Karat Yellow Gold Charm Bracelet
By Tiffany Co.
Located in Tustin, CA
Classic, timeless authentic Tiffany & Co. solid 18 karat yellow gold oval link chain bracelet with
Category

21st Century and Contemporary American Contemporary Chain Bracelets

Materials

18k Gold, Yellow Gold

Tiffany Co. Return to Tiffany Diamond Heart Tag Pendant or Charm 18 Karat Gold
By Tiffany Co.
Located in Scottsdale, AZ
is made of high polished 18 karat white gold. It features a solid heart shaped design embellished
Category

21st Century and Contemporary Modern Pendant Necklaces

Materials

Diamond, Gold, 18k Gold, White Gold

Vintage Tiffany Co. 18 Karat Gold Diamond Champagne Bucket Charm
By Tiffany Co.
Located in New York, NY
made in 18k gold. The charm is wonderfully rendered and very festive. The charm was made around the
Category

1990s American Modern Pendant Necklaces

Materials

Diamond, Gold, 18k Gold, Platinum

Vintage Tiffany Co. 18 Karat Yellow Gold Diamond Airplane Charm
By Tiffany Co.
Located in New York, NY
Vintage 18k model airplane charm by Tiffany & Co. Circa 1990. The charm has small diamonds set in
Category

1990s American Modern Pendant Necklaces

Materials

Diamond, 18k Gold, Yellow Gold

Tiffany Co. Elsa Peretti Gold Heart Charm Bracelet
By Elsa Peretti for Tiffany Co.
Located in Stamford, CT
Tiffany & Co. Elsa Peretti 18k yellow gold bracelet with Tiffany heart charm. Heart stamped
Category

20th Century Modern Link Bracelets

Materials

18k Gold, Yellow Gold

Tiffany Co. 18 Karat Gold Dog Chain Link Bracelet Heart Charm
By Tiffany Co.
Located in Philadelphia, PA
A very fine Tiffany & Co. bracelet. In 18k gold. With slightly oval links and a heart-shaped
Category

20th Century Unknown Modern Link Bracelets

Materials

Gold, 18k Gold

Please Return to Tiffany Co Heart Charm 18 Carat Yellow Gold
By Tiffany Co.
Located in London, GB
An 18 carat yellow gold charm by Tiffany & Co. created as a miniature version of their iconic
Category

2010s British Modern Pendant Necklaces

Materials

Gold, 18k Gold, Yellow Gold

Vintage Tiffany Co. 18 Karat Gold Treasure Chest Charm with Gems
By Tiffany Co.
Located in New York, NY
diamond by Tiffany & Co. This charm was likely made in the 1990s. The charm has a nice heft to it, and has
Category

1990s American Modern Pendant Necklaces

Materials

Gold, 18k Gold

Tiffany Co. 18 Karat Yellow Gold Heart Tag Charm Chain Link Necklace
By Tiffany Co.
Located in Baltimore, MD
Tiffany & Co. 18 Karat Yellow Gold Heart Tag Charm Chain Link Necklace Metal: 18k yellow gold
Category

21st Century and Contemporary North American Modern Chain Necklaces

Materials

18k Gold, Yellow Gold

Tiffany Co. Pillbox Charm Necklace Vintage 18 Karat Gold Secret Compartment
By Tiffany Co.
Located in Torrance, CA
Elegant and finely detailed vintage Tiffany & Co pillbox pendant & necklace crafted in 18 karat
Category

Mid-20th Century Italian Modern Pendant Necklaces

Materials

Blue Sapphire, 18k Gold, Yellow Gold

Estate Tiffany Co. 18 Karat Yellow Gold Vintage Yacht / Sailboat Pendant Charm
By Tiffany Co.
Located in New York, NY
. Discover. - Mark Twain Beautiful nautical 18K gold vintage Tiffany & Co pendant charm of a well detailed
Category

Late 20th Century American Pendant Necklaces

Materials

18k Gold, Yellow Gold

Tiffany Co. Diamond L Love Heart Tag Charm Pendant
By Tiffany Co.
Located in London, GB
Here we have a charming pendant come charm from the world renowned jewellery designer Tiffany &
Category

21st Century and Contemporary Pendant Necklaces

Materials

Diamond, Gold, 18k Gold

Tiffany Co. 18 Karat Gold, Enamel, Cultured Pearl Oyster Pendant Charm, 2001
By Tiffany Co.
Located in New York, NY
they created this beautiful pendant charm. Conceived in 18 karat yellow gold and opening to reveal a
Category

Early 2000s American Pendant Necklaces

Materials

Cultured Pearl, Gold, 18k Gold, Enamel

Tiffany Co. Oval Key Pendant / Charm in Polished 18 Karat Yellow Gold
By Tiffany Co.
Located in Scottsdale, AZ
sophistication and style. Crafted in lustrous 18 karat yellow gold, this pendant embodies Tiffany’s renowned
Category

21st Century and Contemporary Unknown Contemporary Pendant Necklaces

Materials

Gold, 18k Gold, Yellow Gold

Tiffany Co. Four-Leaf Clover Charm Necklace 18 Karat Gold Estate Jewelry
By Tiffany Co.
Located in Torrance, CA
karat yellow gold. The four leaf clover measures 16mm (0.62 inches) and comes with a 18 inch Tiffany
Category

Mid-20th Century Unknown Modern Pendant Necklaces

Materials

18k Gold, Yellow Gold

Tiffany Co. 18 Karat Yellow Gold and Diamond Etoile Heart Shaped Pendant Charm
By Tiffany Co.
Located in Scottsdale, AZ
piece is made of high polished 18 karat yellow gold. It features a solid heart shaped pendant set on a
Category

Late 20th Century Unknown Pendant Necklaces

Materials

Diamond, 18k Gold, Yellow Gold, Platinum

gold charm
By Paloma Picasso for Tiffany Co.
Located in Austin, TX
Gold ring by Pomellato
Category

1990s American Contemporary Cuff Bracelets

Materials

Gold, 18k Gold, Yellow Gold

Paloma Picasso for Tiffany Dot Charm Amulet, circa 2012
By Paloma Picasso for Tiffany Co.
Located in Northampton, MA
double cabochon pink tourmaline gem set within a bezel-frame of rich 18K yellow gold. The charm or amulet
Category

2010s Unknown Contemporary Pendant Necklaces

Materials

Tourmaline, 18k Gold

Schlumberger for Tiffany Co. Lapis Lazuli Egg Charm Pendant
By Jean Schlumberger for Tiffany Co.
Located in Bethesda, MD
Designed by legendary jeweler Jean Schlumberger for Tiffany & Co., this exquisite egg charm pendant
Category

1990s American Pendant Necklaces

Materials

Lapis Lazuli, 18k Gold

Schlumberger for Tiffany Co. Large Tiger s Eye Egg Charm
By Jean Schlumberger for Tiffany Co.
Located in Bethesda, MD
Metal: 18 karat ♦ Gem stone: Tigers eye ♦ Circa 2003 ♦ Size 35mm X18mm ♦ Packaging: Tiffany & Co box and
Category

21st Century and Contemporary American Pendant Necklaces

Materials

Tiger s Eye, 18k Gold

Gold Charm - Offline Sale
By Paloma Picasso for Tiffany Co.
Located in Austin, TX
Van Cleef & Arpels charm bracelet
Category

1990s American Contemporary Cuff Bracelets

Materials

Gold, 18k Gold, Yellow Gold

Gold charm - Offline Sale
By Paloma Picasso for Tiffany Co.
Located in Austin, TX
Van Cleef & Arpels Cabochon Emerald Ring
Category

1990s American Contemporary Cuff Bracelets

Materials

Gold, 18k Gold, Yellow Gold

VCA libra charm pendant
By Paloma Picasso for Tiffany Co.
Located in Austin, TX
Gold ring by Pomellato
Category

1990s American Contemporary Cuff Bracelets

Materials

Gold, 18k Gold, Yellow Gold

VCA libra charm pendant 11875
By Paloma Picasso for Tiffany Co.
Located in Austin, TX
Gold ring by Pomellato
Category

1990s American Contemporary Cuff Bracelets

Materials

Gold, 18k Gold, Yellow Gold

Tiffany Co. Return to Tiffany White Gold Diamond Bracelet
By Tiffany Co.
Located in New York, NY
Authentic Tiffany & Co. 'Return to Tiffany' heart bracelet crafted in 18 karat white gold featuring
Category

2010s Charm Bracelets

Materials

Diamond, 18k Gold, White Gold

Elsa Peretti for Tiffany Co. Yellow Gold Open Heart Bracelet
By Elsa Peretti for Tiffany Co.
Located in New York, NY
Authentic Elsa Peretti for Tiffany & Co. bracelet crafted in 18 karat yellow gold features a single
Category

21st Century and Contemporary Charm Bracelets

Materials

18k Gold, Yellow Gold

Tiffany Co. Vintage Oval Rose Gold Diamond Key Charm
By Tiffany Co.
Located in New York, NY
Authentic Tiffany & Co. 'Vintage Oval' key charm crafted in 18 karat rose gold and set with
Category

2010s Pendant Necklaces

Materials

Diamond, 18k Gold, Rose Gold

Tiffany Co. Elsa Peretti Five Charms Bracelet 18K Yellow Gold
By Tiffany Co.
Located in New York, NY
: Circumference: 7.00 " Designer: Tiffany & Co. Model: Elsa Peretti Five Charms Bracelet 18K Yellow Gold Exterior
Category

21st Century and Contemporary Charm Bracelets

Materials

Yellow Gold

Tiffany Co. Elsa Peretti Five Charms Bracelet 18k Yellow Gold
By Tiffany Co.
Located in New York, NY
: Circumference: 7.00 " Designer: Tiffany & Co. Model: Elsa Peretti Five Charms Bracelet 18K Yellow Gold Exterior
Category

21st Century and Contemporary Charm Bracelets

Materials

Yellow Gold

Tiffany Co. 18k Rose Gold Heart Lock Sterling Silver Charm Bracelet
By Tiffany Co.
Located in Dubai, Al Qouz 2
bracelet has a chain-link holding an iconic Heart Lock charm, rendered in 18k rose gold, dangling
Category

2010s Swiss Contemporary Charm Bracelets

Materials

Rose Gold, Sterling Silver

Tiffany Co. Elsa Peretti Five Charms Bracelet 18k Yellow Gold with Lapi
By Tiffany Co.
Located in New York, NY
: 7.00 " Designer: Tiffany & Co. Model: Elsa Peretti Five Charms Bracelet 18K Yellow Gold with Lapis
Category

21st Century and Contemporary Charm Bracelets

Materials

Yellow Gold

Tiffany Co. Return to Tiffany Love Heart Tag and Key Charm Bracelet 18K
By Tiffany Co.
Located in New York, NY
: Circumference: 6.50 " Designer: Tiffany & Co. Model: Return to Tiffany Love Heart Tag and Key Charm Bracelet 18K
Category

21st Century and Contemporary Charm Bracelets

Materials

Rose Gold

Tiffany Co. Return to Tiffany Love Heart Tag and Key Charm Bracelet 18k
By Tiffany Co.
Located in New York, NY
: 7.00 " Designer: Tiffany & Co. Model: Return to Tiffany Love Heart Tag and Key Charm Bracelet 18K Rose
Category

21st Century and Contemporary Charm Bracelets

Materials

Rose Gold

Tiffany Co. 18 Karat Yellow Gold Heart Tag Charm Bracelet
By Tiffany Co.
Located in Mansfield, OH
Tiffany&Co 18 Karat Heart Tag Charm Bracelet. This piece is a forever classic. Created in 18 karat
Category

Early 2000s American Contemporary Charm Bracelets

Materials

18k Gold

TIFFANY&CO Large Heavy Heart Charm Bracelet
By Tiffany Co.
Located in New York, NY
Large heavy 18k gold charm bracelet made by Tiffany& CO. The closure is a figural heart lock. A
Category

Early 2000s American Charm Bracelets

Materials

18k Gold

Tiffany Co. Elsa Peretti Carved Gemstone gold Charm Bracelet
By Elsa Peretti for Tiffany Co.
Located in Beverly Hills, CA
18KT yellow gold bracelet of open oval links and featuring 5 gem & gold charms., Lapiz Azul, Rock
Category

Late 20th Century American Contemporary Charm Bracelets

Materials

Jade, Lapis Lazuli, Rock Crystal, 18k Gold

Tiffany Co. Endless Infinity Bracelet 18K Yellow Gold
By Tiffany Co.
Located in New York, NY
: Circumference: 6.50 " Designer: Tiffany & Co. Model: Endless Infinity Bracelet 18K Yellow Gold Exterior Color
Category

21st Century and Contemporary Charm Bracelets

Materials

Yellow Gold

Tiffany Co. T Wire 18K Rose Gold Narrow Bracelet
By Tiffany Co.
Located in Dubai, Al Qouz 2
from 18K rose gold and styled as a wire-like band with the letter T on the ends. Simple but high on
Category

2010s Italian Contemporary Charm Bracelets

Tiffany Paris 18K Link Bracelet with Sapphire Locket
By Tiffany Co.
Located in New York , NY
18K gold link bracelet signed Tiffany Paris with French marks. The sapphire locket is 18K gold
Category

Vintage 1980s French Charm Bracelets

Materials

Sapphire, 18k Gold

Tiffany Co. Gold Taxi Charm
By Tiffany Co.
Located in New York, NY
Figural taxi cab charm. Made and signed by TIFFANY & CO. No longer available at Tiffany. 18K
Category

1990s American More Jewelry

Materials

18k Gold

Gold Tiffany Co. Leo Charm
By Tiffany Co.
Located in New York, NY
Outstanding charm with a figural "Leo." Made and signed by TIFFANY & CO. Free-form scalloped
Category

Vintage 1950s Italian More Jewelry

Materials

18k Gold

18K Yellow Gold Charm/Pendant with One Center Diamond, Tiffany Co.
By Tiffany Co.
Located in Surfside, FL
Tiffany & Co. "Yours Truly", 18K yellow gold Charm/Pendant with one center diamond. Length: 28mm
Category

20th Century Pendant Necklaces

Materials

Yellow Gold, 18k Gold

Tiffany Co. 18k Gold Clam Charm Pendant with Pearl and Enamel
By Tiffany Co.
Located in DALLAS, TX
Tiffany & Co 18k yellow gold hinged clam charm pendant with cultured pearl and enamel. 3.4Dwt
Category

21st Century and Contemporary European Pendant Necklaces

Materials

Pearl, 18k Gold, Enamel

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18k Gold Tiffany Charms For Sale on 1stDibs

On 1stDibs, there are many options to choose from in our inventory of 18k gold tiffany charms. These distinct designs — crafted with great care and often made from Gold, 18k Gold and Yellow Gold — can elevate any look. Find a collection of 86 vintage versions or 40 modern creations for a more contemporary example of these cherished accessories. Our collection, which features older pieces for sale from the 19th Century and newer versions made as recently as the 21st Century, has proven very popular over the years. There are many different pieces in our collection of 18k gold tiffany charms to choose from, but Contemporary and Modern 18k gold tiffany charms are of considerable interest. Many examples in our inventory of these items are appealing no matter their origins, but Tiffany Co., Elsa Peretti for Tiffany Co. and Jean Schlumberger for Tiffany Co. produced popular versions that are worth a look. Any of these pieces can lend versatility to your look, but Diamond versions, from our inventory of 23, are particularly popular. A selection of round cut and bead can be found today on these pages. Most of our 18k gold tiffany charms for sale are for women, but there are 44 pieces available to browse for men.

How Much are 18k Gold Tiffany Charms?

On average, 18k gold tiffany charms at 1stDibs sell for $2,150, while they’re typically $350 on the low end and $45,000 for the highest priced versions of this item.

Why Gold Shines in Jewelry Craftsmanship

Gold is the feel-good metal, the serotonin of jewelry. Wear vintage and antique gold necklaces, watches, gold bracelets or gold rings and you feel happy, you feel dressed, you feel, well, yourself. 

Gold, especially yellow gold, with its rich patina and ancient pedigree going back thousands of years, is the steady standby, the well-mannered metal of choice. Any discussion of this lustrous metal comes down to a basic truth: Gold is elementary, my dear. Gold jewelry that couples the mystique of the metal with superb design and craftsmanship achieves the status of an enduring classic. Many luxury houses have given us some of our most treasured and lasting examples of gold jewelry over the years.

Since its founding, in 1837, Tiffany Co. has built its reputation on its company jewelry as well as its coterie of boutique designers, which has included Jean Schlumberger, Donald Claflin, Angela Cummings and Elsa Peretti. There are numerous gold Tiffany classics worth citing. Some are accented with gemstones, but all stand out for their design and the workmanship displayed.

For the woman who prefers a minimalist look, the Tiffany Co. twist bangle (thin, slightly ovoid) is stylishly simple. For Cummings devotees, signature pieces feature hard stone inlay, such as her pairs of gold ear clips inlaid with black jade (a play on the classic Chanel black and tan), or bangles whose design recalls ocean waves, with undulating lines of lapis lazuli and mother-of-pearl. And just about any design by the great Jean Schlumberger is by definition a classic.

Even had he eschewed stones and diamonds, Southern-born David Webb would be hailed for the vast arsenal of heavy gold jewelry he designed. Gold, usually hammered or textured in some manner, defines great David Webb jewelry. The self-taught jeweler made very au courant pieces while drawing inspiration from ancient and out-of-the-way sources — East meets West in the commanding gold necklaces made by Webb in the early 1970s. The same could be said for his endlessly varied gold cuffs.

In Europe, many houses have given us gold jewelry that sets the highest standard for excellence, pieces that were highly sought after when they were made and continue to be so. 

Numerous designs from Cartier are homages to gold. There are the classic Trinity rings, necklaces and bracelets — trifectas of yellow, white and rose gold. As a testament to the power of love, consider the endurance of the Cartier Love bracelet.

Aldo Cipullo, Cartier’s top in-house designer from the late 1960s into the early ’70s, made history in 1969 with the Love bracelet. Cipullo frequently said that the Love bracelet was born of a sleepless night contemplating a love affair gone wrong and his realization that “the only remnants he possessed of the romance were memories.” He distilled the urge to keep a loved one close into a slim 18-karat gold bangle. 

BVLGARI and its coin jewelry, gemme nummarie, hit the jackpot when the line launched in the 1960s. The line has been perennially popular. BVLGARI coin jewelry features ancient Greek and Roman coins embedded in striking gold mounts, usually hung on thick link necklaces of varying lengths. In the 1970s, BVLGARI introduced the Tubogas line, most often made in yellow gold. The Tubogas watches are classics, and then there is the Serpenti, the house's outstanding snake-themed watches and bracelets.

A collection called Monete that incorporated the gold coins is one of several iconic BVLGARI lines that debuted in the 1970s and ’80s, catering to a new generation of empowered women. Just as designers like Halston and Yves Saint Laurent were popularizing fuss-free ready-to-wear fashion for women on the go, BVLGARI offered jewels to be lived in

Since Van Cleef Arpels opened its Place Vendôme doors in 1906, collection after collection of jewelry classics have enchanted the public. As predominantly expressed in a honeycomb of gold, there is the Ludo watch and accessories, circa the 1920s, and the golden Zip necklace, 1951, whose ingenious transformation of the traditional zipper was originally proposed by the Duchess of Windsor. Van Cleef's Alhambra, with its Moroccan motif, was introduced in 1968 and from the start its popularity pivoted on royalty and celebrity status. It remains one of VCA’s most popular and collected styles.

Mention must be made of Buccellati, whose name is synonymous with gold so finely spun that it suggests tapestry. The house’s many gold bracelets, typically embellished with a few or many diamonds, signified taste and distinction and are always in favor on the secondary market. Other important mid-20th-century houses known for their gold-themed jewelry include Hermès and Ilias Lalaounis.

Find a stunning collection of vintage and antique gold jewelry on 1stDibs.