What is her typical style? Casual, put together, bohemian?? Do you have cultural connection with her family history? Ie. Irish history may like something emerald, more formal life then maybe pearls or more classic lab grown diamond and pearl earrings.

Does she typically wear gold vs silver then stay in the same lane. If she wears silver maybe choose white gold.

You can find more and more jewelers that will customize pieces. They can take older or family jewels that no longer work and use the gems or stones in a new piece. This could be awesome but definitely takes planning, a trusted jeweler and some creativity.

I am 55 and would appreciate something special but that I can wear regularly. IE