Ear cuffs have been around for a long time, some more ornate than others. This one, made by Ana Khouri with 18k yellow gold set with three cultured pearls, gives the illusion of having multiple piercings but actually requiring none. The pearls actually appear to float on the ear, which is kind of cool.
The earrings fits along the curve of the outer ear, and is held in place at the bottom with a tiny clip mechanism. It measures about 2.5 inches and sells for USD $2900 at Barneys.