Opened, but it's a new, unused item. Please refrain from purchasing if you are concerned about it being stored at home. I will wrap it in bubble wrap for shipping. A 5-way brush with a gua sha tool has been newly released to reduce friction and heat damage, and maximize the effects of treatment! You can use it at various times, such as before shampooing, after treatment, and after taking a bath. The gua sha part is perfect for scalp care.