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Patek Philippe execs have said that even they don't know why there's been such a recent mania for the Nautilus model Walk into any Patek dealer and ask for a Nautilus 5711, and you'll see the result of the insane hype The partnership between Tiffany & Co.
and Patek Philippe dates back to 1851, when Antoine Norbert de Patek and Charles Tiffany met in New York They parted with a handshake, and Tiffany has been selling Pateks ever since Now, almost every modern model of Patek Tiffany offers receives a small mark of approval on the dial.
You can only buy them from one of Tiffany's four Patek boutiques, and in order to do that, you need to know a guy Tiffany knows who's buying a Nautilus as soon as it gets stamped. . Source