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Stephen McLeod, chairman of UCSF's ophthalmology department

Feel free to check with the couple or the venue if youre unsure about the dress code

Alternatively if you are looking for a piece of jewellery with more than one skull on it then Thomas Sabo also do an Obsidian Bracelet so you can take your alternatively edgy look to the next level

Likewise, if the event is taking place at a more casual location, such as a beach or garden, there's an opportunity to experiment more with color