In Tibetan art, Akshobhya may hold his attribute horizontally in his right hand, palm downwards, as above. (Bhaisajyaguru holds an arura fruit or branch with his palm facing upwards).
Alternatively, he holds it upright in the palm of his left hand. This smiling buddha has silver-inlaid eyes and (missing) urna and copper-inlaid lips, which suggests, together with the style of the petals on the lotus base and the Chinese silk garments with a cloud pattern, that perhaps it was made in the Tsang province of Central Tibet.
In most cases the vajra sceptre is placed on top of the lotus base before the buddha (who may also be Shakyamuni). On this example, it is on top of the stepped throne supported by Yakshas and decorated with a row of copper and silver-inlaid visvajras (associated with Amoghasiddhi) and a long-life vase (associated with Amitayus/Amitabha) at the front. The eyes of the buddha are inlaid with silver, the hem of his sanghati with copper. It would be interesting to know if there are any symbols associated with Ratnasambha and Vairochana on the other sides of the throne.
Akshobhya is portrayed here on a throne supported by a yaksha and two elephants. His eyes and urna have been painted with pigments to reproduce earlier silver-inlaid works. The border of his garment and the upper rim of the lotus base are decorated with incisions that recall the early West Tibetan style.