Simulated to look like a real hand and made completely out of 100% real buffalo horn you cant beat it. Hand polished to make the horn shine with a brass plated collar this is the most elegant back scratcher you will find on the market. Overall length is 16.50 inches. Please note that Item may have minor scratches due to buffing and natural material. When measuring this item we measure it at the spine. Segmented lines will be visible where the item was pieced together. May not look exactly like the picture. The variations in their shapes and colors can only be made by nature; thus a horn may have natural blemishes which will not affect its functionality but does verify its authenticity.