ICE.com has the 14K Yellow Gold Diamond Heart Pendant w/Chain for $76 with free shipping. Suspended from a delicate yellow gold chain, the simple elegance of this heart shaped pendant makes this a versatile and practical piece.
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It would actually look better without the random diamond dropped in it.
You're right, it does look like a facial blemish. Perhaps it's just another way to invest in gold
I think they added the diamond to add weight on that side. If not the heart would always be upside down.