This is an old-style donut-shaped pillow from Esmeralda. The height can be adjusted with Velcro. There is fading, yellowing, and fuzzing due to washing and aging. Please refrain from purchasing if you are sensitive to these issues. Please purchase only if you understand that this is a used item and has been stored at home. Please note that we will compress the item as much as possible for compact packaging when shipping. We may change the shipping method from Rakuraku Mercari Bin to Yuyu Mercari Bin. Flat head syndrome measures Flat head prevention Sleep baldness measures Donut pillow