Thank you for viewing. This is a brand new, unused item. It arrived six months ago. It tightens pores on the face and lifts the skin. Highly recommended for those concerned about: nasolabial folds, sagging eyelids, forehead wrinkles, and the face line. For those concerned about skin tags on the neck, there are cases where they fall off with continued use. I will pack the item after taking it out of the box. Thank you.