This "Drusilla Tiara" by acpetrille on Etsy is a stunning mix of old and new. It features beautiful black and white cameos decorated with garnet, glass pearls, rhinestones, and marcasite stones that center the eye. Each piece is custom-made, which means you can request special changes in color or size. The tiara has been featured in several different online venues and clocks in at a whopping $640, here.
Runners Up for handmade tiaras found on Etsy: Oakleaf Silver and Mother of Pearl Tiara ($429) by Phantasteria, Leaves Comb ($235) by acpetrille, and Jolie La Plume tiara ($88) by ravenevejewelry.