Alex's pink ribbon sparkling barrette is a used item. It has been used, so there is some signs of wear. One rhinestone is missing from the edge (see last image). It's on the edge, so it's not very noticeable. The surface is relatively clean, but the metal clasp has some dullness and minor scratches. No accessories are included. For those who understand used items! Please refrain from purchasing if you are sensitive. Thank you! (^-^)