The pillow appears to be of high quality but too thick for my almost 4 year old. I bought this because it was advertised as low profile and it isn't! I cut it open, removed 1/3 of the fluff and glued it back together (I'll sew it on eventually so we can continue washing). His neck is in a much better position now, but I didn't have to destroy the product for it to work properly.
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