Overall this pillow is ok but for those buying a sleep pillow with a healing piercing (like mine) I think this one is too big to go well function. I found I always rolled off the small pillows and wanted to try the big one, but the fact that it's so far from the rim to the inside of the hole means my shoulder can't be lower than the pillow when mine ear it is in the hole. The other small issue I had was that it was shipped fully folded vacuum packed and mine unfolded but only expanded to 85% of what it looks like in the picture. Still quite comfortable but not as soft as it could be.
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