Juvalips lip plumping device. Used a few times, and stashed away. Includes 20 relplacement pads (sealed), extra mouthpiece + replacement pad (sealed), carry/storage bag. Bag has minor staining from being stored with other cosmetics, but has been laundered. Device has been cleaned and sanitized with alcohol, but I would suggest sanitizing again upon receipt (I have worked in the industry). Uses 2 AAA batteries. Works well for temp results - I just ended up going the cosmetic route. Please let me know if you have any questions.