Thank you for viewing! (*^^*) NU SKIN ageLoc LumiSpa iO Treatment Head - Firm type. This is a new, unopened item. However, there is a small amount of dirt on the box. But the contents are fine, so please rest assured (*^^*) Please refrain from purchasing if you are sensitive to this, as it is stored in a regular household. #LumiSpa #LumiSpaiO #TreatmentHead