This is a tissue cover made from fabric with a Nordic hydrangea pattern by Uso-ko. The back is made of the same fabric. It can be used either hanging or placed. Please use a slim box tissue. The image shows a box tissue of 23 x 12 x 4.5 cm. ○ Fabric Material: 100% cotton. Since it is #10 canvas fabric, it is sturdy. ○ Size: Approximately 29.5 cm in length, 17.5 cm in width. Thank you! ☺︎ Category: Tissue Case Main Material: Fabric Style: Nordic Pattern: Flower