Yes. Just contact us and we can help you get just what you want. You can find extra charms and birthstones at our Add Ons page: https://www.heartonyourwrist.com/add-ons/
On your order, you can add the jewelry piece you want, then add the add-ons you want, and just let us know in the instructions that you want us to add them to the piece. We'll usually assume that's the case, and if it's not clear from the order, we'll contact you.
Dec 6, 2025