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The shape of the Cartier makes it the winner for me. I’m sure the Patek is beautiful but it’s still more watch than jewelry (which may be a benefit, I don’t know). She already has “real” watches, so going a bit more towards jewelry seems like a reasonable move here
You hit it on the head. The Cartier is definitely more jewelry and more about design (thought it does have a proper mechanical movement), whereas the Patek is definitely a far more serious watch. That said, the Patek has the benefit of being a nice complement to the 5170 she gave me for my 40th. Also, they are virtually the same price—can’t help but feel I’d be getting a lot more for my money with the Patek.