These are ear acupressure stickers without pellets. ^ ^ * If you experience any abnormalities such as itching, redness, or pain, or if they do not suit your skin, discontinue use immediately. * Remove the stickers after about 5-7 days. ⚠︎ These are handmade, so we cannot be held responsible for any post-purchase issues such as returns or refunds. Please understand this before purchasing.