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Antique Italian Carved Shell Cameo Medusa Gorgon Brooch
Located in Chicago, IL
Medusa Gorgon. The cameo is set in a plain 14K gold frame and mounted as a brooch. Signed by the carver
Category

Antique Late 19th Century Italian Brooches

Stephen Dweck Cameo and Blister Pearl Gold Brooch
By Stephen Dweck
Located in Chevy Chase, MD
frame brooch, designed by Stephen Dweck. The cameo depicts a man and a woman. Signed: Stephen Dweck
Category

Vintage 1980s American Brooches

Materials

Crystal, Other, Pearl, 18k Gold

14 Karat Yellow Gold Cameo Pendant or Brooch
Located in Washington Depot, CT
14 Karat Yellow Gold Cameo Pendant/Brooch - This stunning cameo features a lovely woman with the
Category

Antique 19th Century Brooches

Materials

Gold

French Antique Fine Pearls and Agate Cameo Brooch
Located in Poitiers, FR
Cameo Brooch in 18 carat yellow gold, eagle head hallmark. This splendid antique brooch displays
Category

Antique 19th Century French Napoleon III Brooches

Materials

Agate, Natural Pearl, Pearl, 18k Gold, Gold, Yellow Gold

ELIZABETH LOCKE Venetian Glass Intaglio Cameo Citrine Brooch
By Elizabeth Locke
Located in Southampton, PA
18k Yellow Gold Venetian Glass Intaglio Cameo Citrine Brooch Pin by Elizabeth Locke. With one large
Category

20th Century American Brooches

Materials

Citrine, 18k Gold

Belle Epoque Antique Amethyst Cameo Diamond Brooch Pendant
Located in Chicago, IL
Circa 1885 This very rare antique Belle Epoque amethyst cameo brooch / pendant boasts a beautiful
Category

Antique Late 19th Century Victorian Brooches

Materials

Amethyst

Antique Yellow Gold Greek Mythology Motif Cameo Brooch
Located in Beverly Hills, CA
An amazing antique cameo brooch featuring a nicely carved Greek mythology scene. The frame is made
Category

Antique Early 1900s Victorian Brooches

Materials

14k Gold, Yellow Gold

French 19th Century Natural Pearl Agate Cameo Brooch
Located in Poitiers, FR
Brooch / pendant in 18 karat rose gold, eagle's head hallmark. Oval, this antique brooch is adorned
Category

Antique 19th Century French Napoleon III Brooches

Materials

Agate, Pearl, Natural Pearl, Gold, 18k Gold, Rose Gold

Antique French Natural Pearl Diamond and Cameo Brooch
Located in Firenze, IT
Brooch in 18K gold and silver adorned with a cameo in the profile of a woman in a chiselled closed
Category

Antique 1870s French Napoleon III Brooches

Materials

Diamond, Natural Pearl, 18k Gold, Yellow Gold, Silver

Vintage 10 Karat Yellow Gold Cameo Brooch/Pendant
Located in Washington Depot, CT
Vintage 10 Karat Yellow Gold Cameo Brooch/Pendant- This elegant brooch features a lovely lady in
Category

Vintage 1950s Brooches

Materials

10k Gold

Large Antique Cameo Shell Gold Hercules Brooch Pendant
Located in Firenze, IT
The shell cameo depicting Hercules profile facing right. The yellow gold framed chased and
Category

Antique 1850s British Victorian Brooches

Materials

Gold

18K Yellow Gold Diamond and Carnelian Cameo Brooch
By LB Exclusive
Located in Southampton, PA
This cameo brooch will continually capture your imagination. Set in 18K Yellow Gold, the female
Category

21st Century and Contemporary Brooches

Materials

Carnelian, Diamond, 18k Gold, Yellow Gold

Victorian Hardstone Cameo Diamond Gold Silver Brooch Pendant
Located in Los Angeles, CA
Victorian hardstone diamond gold and silver cameo brooch pendant circa 1880. DETAILS: DIAMONDS
Category

Antique 1880s Unknown Victorian Brooches

Materials

Diamond, Gold, 14k Gold, 18k Gold, Silver

Antique Victorian Lava Left Facing Cameo Pin Brooch
Located in Vilnius, Vilniaus apskr.
This is a stunning antique Victorian oval gold-filled cameo brooch. Circa 1850. The cameo is carved
Category

Antique Mid-19th Century French Victorian Brooches

Materials

Gold Plate

David Webb 18k Yellow Gold Cameo Pendant Brooch
By David Webb
Located in Palm Beach, FL
David Webb pendant brooch centering a carved shell cameo depicting Poseidon, the god of the seas in
Category

Vintage 1970s American Modern Brooches

Materials

18k Gold, Yellow Gold

18K Yellow Gold Shell Cameo Di Bambino Brooch
By LB Exclusive
Located in Southampton, PA
This Cameo Di Bambino brooch is teeming with old fashioned elegance. A detailed relief carving of a
Category

21st Century and Contemporary Brooches

Materials

18k Gold, Yellow Gold

Antique Victorian Cameo Brooch, Cupid, 9 Karat Gold
Located in NEWARK, GB
An outstanding rare, antique, Victorian era cameo brooch. What makes this cameo special is the
Category

Antique 19th Century British Victorian Brooches

Materials

Gold, 9k Gold, Rose Gold, Yellow Gold

Victorian Hardstone Cameo Yellow Gold Brooch Earring Set
Located in Carmel-by-the-Sea, CA
Extremely fine Victorian cameo suite of earrings and a pin/pendant. The earrings measure 1 inch
Category

Antique Late 19th Century Victorian Brooches

Materials

Agate

14K Sardonyx Cameo Split Pearl Brooch and matching Earrings
Located in North Hollywood, CA
This brooch and earrings are special and in perfect condition. The brooch has a female portrait
Category

Vintage 1940s American Artisan Brooches

Materials

Pearl, 14k Gold

Late 20th Century "Three Muses" Cameo Pendant Brooch
Located in ADELAIDE, SA
One 18k yellow gold hand carved shell cameo depicting the antique Greek theme of the “Three Muses
Category

Late 20th Century Modern Brooches

Materials

18k Gold

Victorian 18KT Gold Agate Cameo Brooch with Enamel and Pearls
Located in New York, NY
Design Weight: 42 Grams Style: Cameo Portrait Brooch Condition: Very Good
Category

Antique 19th Century Victorian Brooches

Materials

Agate, Pearl, 18k Gold, Yellow Gold, Enamel

Raymond Yard Two Carved Coral Cameo Gold Pins Brooches
By Raymond C. Yard
Located in Southampton, PA
14k Yellow Gold Carved Coral Cameo Vintage Pins Brooches by Raymond Yard. With 2 coral cameos 23mm
Category

20th Century American Brooches

Materials

Coral, 14k Gold

14 Karat Yellow Gold Rose Cameo Brooch or Pendant
Located in Washington Depot, CT
Vintage 14 Karat Yellow Gold Rose Cameo Brooch/Pendant This lovely floral cameo brooch is set in
Category

20th Century Brooches

Materials

Yellow Gold

Fine Quality Cameo Brooch in 9ct Yellow Gold Mount
Located in London, GB
Fine Quality Cameo Brooch Set in 9ct Yellow Gold Mount Additional Information: Set in a 9ct Yellow
Category

20th Century Brooches

Materials

Yellow Gold

Victorian 14K White Gold Portrait Cameo Brooch with Diamond
Located in New York, NY
An heirloom-worthy piece from the Victorian era, this 14K white gold portrait cameo brooch
Category

Antique 19th Century Victorian Brooches

Materials

Diamond, White Gold, 14k Gold

Late 19th Century Agate Cameo Habille Brooch / Pendant
Located in Firenze, IT
The agate relief of a classical female bust adorned with diamond ornament in her hair, within a gold frame. Lenght: 35mm Weight: 18.5gr.
Category

Antique 1840s Italian Brooches

Materials

Agate, 18k Gold, Yellow Gold

Art Nouveau Antique Shell Cameo Diamond Platinum Gold Brooch
Located in Chicago, IL
Vienna, circa 1910 This elegant Art Nouveau era brooch/pin features a multi-layer shell cameo
Category

Early 20th Century Austrian Art Nouveau Brooches

Swedish Victorian Finely Carved Agate Cameo Yellow Gold Brooch
Located in Carmel-by-the-Sea, CA
. Splendid forethought and execution make this cameo particularly desirable. Swedish hallmarks on the brooch
Category

Antique Late 19th Century Swedish Victorian Brooches

Materials

Agate, 18k Gold

14 Karat Yellow Gold and Diamond Cameo Brooch/Pendant
Located in Washington Depot, CT
14 Karat Yellow Gold and Diamond Cameo Brooch/Pendant- This stunning cameo features a lovely lady
Category

20th Century Brooches

Materials

Diamond, Yellow Gold

Antique Victorian Shell Portrait Cameo Yellow Gold Brooch Pendant
Located in Miami Beach, FL
Victorian brooch/pendant bezel-set with a large hand-carved shell cameo with the profile of a young
Category

Antique 19th Century Victorian Brooches

Materials

9k Gold, Yellow Gold

Edwardian Cameo Shell and 14k Yellow Gold Brooch/Pendant
Located in Towson, MD
One Edwardian 14 karat yellow gold shell cameo brooch/pendant, finely hand-carved with the profile
Category

Antique Early 1900s Unknown Edwardian Brooches

Materials

14k Gold, Yellow Gold

Antique Victorian Saint George and Dragon Gold Cameo Brooch
Located in Baltimore, MD
Wonderful Victorian cameo brooch of Saint George and the Dragon. Saint George is the patron saint
Category

Antique 1870s English Victorian Brooches

Materials

Gold-filled

Jet and 9k Yellow Gold Cameo Brooch - Antique Victorian
Located in Jesmond, Newcastle Upon Tyne
A fine and impressive antique Victorian jet and 9 karat yellow gold cameo brooch; part of our
Category

Antique 1880s Unknown Victorian Brooches

Materials

9k Gold, Yellow Gold

Antique 1900s Gold, Pearl and Shell Victorian Cameo Brooch
Located in Towson, MD
This 10 karat yellow gold Victorian cameo brooch, circa 1900, is a stunning representation of
Category

Early 20th Century Unknown Victorian Brooches

Materials

Pearl, 10k Gold, Yellow Gold

Large Antique 19th Century Cameo Gold Convertible Brooch Pendant
Located in Chicago, IL
Italian, circa 1860s. This large antique shell cameo is superbly carved after either Tommaso or
Category

Antique Mid-19th Century European Victorian Brooches

Materials

Gold

Handcraft Cameo 14 Karat Yellow Gold Ruby Diamonds Brooch
By SCALA GIOIELLI
Located in Marcianise, IT
message to solve the problem. 14 karat yellow gold brooch. Handmade by our craftsmen assembled with cameo
Category

21st Century and Contemporary Italian Artisan Brooches

Materials

Diamond, Ruby, 14k Gold, Yellow Gold

1900s Shell Cameo 18 Karat Yellow Gold Brooch Pendant
Located in Poitiers, FR
closed set with a shell cameo representing a romantic scene finely realized. The brooch has a safety pin
Category

Early 20th Century French Romantic Brooches

Materials

Gold, 18k Gold, Yellow Gold

Early 1900 s Cameo 14K Gold Ruby Pendant Brooch
Located in Atlanta, GA
Cameos are true pieces of artistic portraiture often depicting old world ethereal beauty and
Category

Early 20th Century American Victorian Brooches

Materials

Ruby, 14k Gold

Antique Mid-19th Century French Shell Cameo Gold Brooch
Located in Chicago, IL
Circa 1860 A large finely carved shell cameo of Hebe and the eagle of Zeus is set in an ornate 18K
Category

Antique Mid-19th Century French Victorian Brooches

Victorian Hardstone Cameo Diamond Seed Pearl Gold Brooch Pendant
Located in Beverly Hills, CA
A fine quality hardstone cameo with sharp detail, accented by diamonds and seed pearls set in a 18K
Category

Antique Late 19th Century Victorian Brooches

Materials

Diamond, Pearl, 18k Gold

French Victorian Carved Amethyst Cameo Gem Set Gold Brooch
Located in Chicago, IL
Circa 1880, French Cameo brooch by Auguste Lottin, Carved Amethyst Bust measuring 1 1/4 X 1 inch
Category

Antique Late 19th Century French Victorian Brooches

Materials

Amethyst, Emerald, Natural Pearl, 18k Gold

Napoleon III Gold-Mounted Agate Cameo Brooch, 19th Century
Located in Paris, FR
9th century agate cameo brooch, set in gold mounting. It shows two busts of Marcus Aurelius and
Category

Antique 1860s French Napoleon III Brooches

Materials

Agate, Gold

Art Deco White Gold and Cameo Shell Brooch 1920s
Located in Towson, MD
Discover the timeless elegance of this 1920s art deco 14 karat white gold brooch, featuring a
Category

Vintage 1920s Unknown Victorian Brooches

Materials

14k Gold, White Gold

Napoleon III Natural Pearl Enamel Agate Gold Cameo Brooch
Located in Poitiers, FR
Brooch in 14 carat yellow gold. This brooch is set with a cameo on agate displaying the profile of
Category

Antique 19th Century Italian Napoleon III Brooches

Materials

Agate, Pearl, Natural Pearl, Gold, Yellow Gold, 14k Gold, Enamel

Estate Large Carved Shell Cameo Pendant / Brooch Signed Ciro
Located in Birmingham, AL
This is a gorgeous and large signed cameo. This estate piece is made in 18K yellow Gold, measures 3
Category

20th Century Unknown Brooches

Materials

18k Gold

Antique Edwardian Moonstone Cameo and Diamond Brooch, Circa 1910
Located in London, GB
A beautiful Edwardian moonstone and diamond brooch c.1910, the long stick pin style brooch set to
Category

Antique Early 1900s British Brooches

Materials

Diamond, Moonstone, 18k Gold, Platinum

An Onyx Cameo and Diamond Brooch/Pendant, Circa 1860
Located in Firenze, IT
The oval onyx cameo, carved to depict the double portrait in profile, within rose diamond and pearl
Category

Antique 1860s French Napoleon III Brooches

Materials

Diamond, Onyx, 18k Gold, Yellow Gold, Silver

Antique Cameo Brooch with Seed Pearl Accents in 18 Karat
Located in Miami, FL
An impressive and well carved Antique Italian cameo brooch circa 1900. The elaborated and fine
Category

Antique 1890s Italian Victorian Brooches

Materials

Pearl, Gold, 18k Gold, Yellow Gold

Antique French Agate and Seed Pearl Yellow Gold Cameo Brooch
Located in Jesmond, Newcastle Upon Tyne
An impressive antique French agate and seed pearl, 18 karat yellow gold cameo brooch; part of our
Category

Antique 1880s French Brooches

Materials

Pearl, Agate, Gold, 18k Gold, Yellow Gold

Vintage 18 Karat Yellow Gold Guardian Angel Cameo Brooch/Pin
Located in Washington Depot, CT
Vintage 18 Karat Yellow Gold Guardian Angel Cameo Brooch/Pin- This stunning cameo brooch features
Category

20th Century Brooches

Materials

Yellow Gold

Victorian Cameo Carnelian Gold Enamel Suite of Brooch and Bracelet
Located in London, GB
Brooch and bracelet suite, the bracelet with five cornelian coloured hard stone cameos, in gold
Category

Antique 1880s Victorian Brooches

Materials

Carnelian, Gold

Antique Edwardian Hardstone Cameo Circa 1910 Yellow Gold Brooch Pendant
Located in Towson, MD
This hardstone (agate) cameo is haloed in hand-engraved 10k yellow gold. This lovely lady has
Category

Antique Early 1900s Victorian Brooches

Materials

Onyx, 10k Gold, Yellow Gold

Agate Cameo Brooch Depicting Classical Women Profile Mounted in Gold
Located in Firenze, IT
Victorian carved hard stone cameo brooch mounted in Gold, end of the XIX century, weight 21,9 gr
Category

Antique Mid-19th Century British Victorian Brooches

Materials

Agate, Gold

ELIZABETH LOCKE Carved Lava Cameo Pearl Yellow Gold Brooch Pin
By Elizabeth Locke
Located in Southampton, PA
18k Yellow Gold Carved Lava Cameo Pearl Brooch Pin by Elizabeth Locke. With 3 Carved Lava Cameo
Category

20th Century American Brooches

Materials

Cultured Pearl, 18k Gold

18 Karat White Gold Diamond and Sapphire Cameo Brooch/Pendant
Located in Washington Depot, CT
18 Karat White Gold Sapphire and Diamond Cameo Brooch/Pendant- This stunning cameo features a
Category

20th Century Brooches

Materials

Diamond, Sapphire, White Gold

Exceptional Quality 14K Yellow Gold Cameo Brooch With Superb Carving
Located in Media, PA
This is a very unique antique 14K gold cameo brooch, it has a lovely scenery of a young lady and a
Category

Early 20th Century Brooches

Materials

14k Gold, Yellow Gold

Antique Victorian Classical Carved High Relief Agate Cameo Gold Brooch
Located in Chicago, IL
classic profile of a lady facing right. The cameo is set in a plain 18K gold oval frame. The brooch is
Category

Antique Mid-19th Century French Victorian Brooches

Materials

Agate

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Brooch Cameo For Sale on 1stDibs

On 1stDibs, you can find the most appropriate brooch cameo for your needs in our varied inventory. Frequently made of gold, yellow gold and 18k 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 brooch cameo 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. Creating a brooch cameo has been a part of the legacy of many jewelers, but those produced by Elizabeth Locke, AMEDEO and Vaibhav Dhadda are consistently popular. While most can agree that any brooch cameo from our collection can easily elevate most outfits, but the choice of a diamond version from the 219 available is guaranteed to add a special touch to your ensemble. A round cut version of this piece has appeal, but there are also oval cut and mixed cut versions for sale. When shopping for a brooch cameo, you’ll find that there are less available pieces for unisex or men today than there are for women.

How Much is a Brooch Cameo?

On average, a brooch cameo at 1stDibs sells for $1,450, while they’re typically $50 on the low end and $200,000 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.

Finding the Right Brooches for You

Vintage brooches, which refer to decorative jewelry traditionally pinned to garments and used to fasten pieces of clothing together where needed, have seen increasing popularity in recent years.

While jewelry trends come and go, brooches are indeed back on the radar thanks to fashion houses like GucciVersaceDior and Saint Laurent, all of which feature fun pinnable designs in their current collections. Whether a dazzlingly naturalistic Art Nouveau dragonfly, a whimsical David Webb animal, a gem-studded bloom or a streamlined abstract design, these jewels add color and sparkle to your look and a spring to your step. 

Given their long history, brooches have expectedly taken on a variety of different shapes and forms over time, with jewelers turning to assorted methods of ornamentation for these accessories, including enameling and the integration of pearls and gemstones. Cameo brooches that originated during the Victorian age are characterized by a shell carved in raised relief that feature portraits of a woman’s profile, while 19th-century micromosaic brooches, comprising innumerable individually placed glass fragments, sometimes feature miniature depictions of a pastoral scene in daily Roman life.

At one time, brooches were symbols of wealth, made primarily from the finest metals and showcasing exquisite precious gemstones. Today, these jewels are inclusive and universal, and you don’t have to travel very far to find an admirer of brooches. They can be richly geometric in form, such as the ornate diamond pins dating from the Art Deco era, or designer-specific, such as the celebrated naturalistic works created by Tiffany Co., the milk glass and gold confections crafted by Trifari or handmade vintage Chanel brooches of silk or laminated sheer fabric. Chanel, of course, has never abandoned this style, producing gorgeously baroque CC examples since the 1980s.

Brooches are versatile and adaptable. These decorative accessories can be worn in your hair, on hats, scarves and on the lower point of V-neck clothing. Pin a dazzling brooch to the lapel of your blazer-and-tee combo or add a cluster of smaller pins to your overcoat. And while brooches have their place in “mourning jewelry,” in that a mourning brooch is representative of your connection to a lost loved one, they’re widely seen as romantic and symbolic of love, so much so that a hardcore brooch enthusiast might advocate for brooches to be worn over the heart.

Today, find a wide variety of antique and vintage brooches for sale on 1stDibs, including gold brooches, sapphire brooches and more.

Questions About Brooch Cameo
  • 1stDibs ExpertApril 5, 2022
    To tell how old a cameo brooch is for certain, you usually need to consult a licensed jewelry appraiser. This is because many authentic pieces do not have marks, and there are many modern reproductions that resemble the antique jewelry. Find a selection of expertly vetted antique cameo brooches on 1stDibs.