Tussie Mussies/Tussy Mussies were worn on clothing/coats/fingers/belts and today are just held in weddings. This one is way too big for that unless someone is wanting to make a BIG statement! The large one today is 7".
I have seen this size come with stands as well. The Victorian holder resembled a "bed spring" and in fact today, those old bed springs are being taken apart and the individual springs are being used to hold the cone shaped items!