Authentic Skin Medica TNS sealed in original packaging and unused. Purchased directly from the Dermstore website. New and never used. This next-generation, skin rejuvenating formula improves the appearance of coarse wrinkles, fine lines, skin tone, and texture. It's the only growth factor product proven to address sagging skin. Visible results in just 2 weeks. Results continue to improve through 24 weeks of use. Expires 09/26 I have a few available. Thank you ♥️