I purchased this item new and unused, and have kept it in that condition. Although it's unused, I've occasionally taken it out to look at it during the Miyako Odori season, so I'll list it as "like new." The design is from the kimono worn by maiko at the Miyako Odori. It's so cute, I couldn't bring myself to use it. I think it would look great when wearing a kimono. #MiyakoOdori #TissueCase #JapaneseAccessories #Maiko