Description from Alchemy of England's site:

Monumental death’s head. Classic 7mm metal horn faux-stretcher, with skull stretcher-head.

Worn in a standard ear-post hole, but looks like a stretched piercing when in place.

Illusion of a 7mm curved horn with skull stud end.

This item can be worn by a regular pierced ear to give the perception of a stretch ear. 

Sold singularly, with surgical steel ear-post.