I bought this cushion because it was pretty cute and just the right shape for my ear piercing. Lying directly on my ear causes problems with my stinging and stretching earlobes, although everything is healing. So I started sleeping on this pillow and just stuck my ear out when I laid my head on it. The pillow even has a "bite" that doubles as a place for my neck. The problem with this pillow is that it is difficult to clean. I'm on my second; My first one broke a bit in the washing machine. (FYI, I wouldn't put this in the dryer.) There's no removable cover, so I'd suggest doing what I started, which is tossing a pillowcase over it. Also, something odd was that when I got my second pillow, those tiny plastic fibers seemed to be sticking out. They were so small you couldn't see them, but I could feel them on my face. They actually irritated my skin and made me break out. So another reason to use a pillowcase. All in all, I can't recommend this pillow unreservedly, but I think it's ok.
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