Only photo 1 and the instruction manual (in Japanese) are included; the box is not present. It can be used in the bath and has been used only twice. Seller: YA-MAN Corporation More comfortable than human hands!? Scalp Lifting Lifts the scalp in a three-dimensional manner, similar to the "grasping massage" hand technique of a head spa, which is difficult to achieve in daily life. With approximately 57,600* stimulations per minute, it provides more comprehensive care than human hands. For a refreshed impression. Face Care Includes a dedicated attachment for face care, not just the head. Replicates the "pinching lift" hand technique of estheticians. Targets the stiff muscles of the face line. For a refreshed impression. Also for care of the décolleté, neck, and temples.