This Vogmask is brand new with packaging. It is a size MEDIUM. I ordered a M+ but was sent the wrong size in the box. So even though the box says M+, the mask is a medium. Vogmask sent me the right size but I don’t have anything to do with this one. Never used, just taken out of the box and realized it was the wrong size. Yes, I listed the price more than Vogmask. This is not to price gouge but just to recoup the extra shipping costs I paid and Poshmark’s listing fees.