Item is brand new. I have not even opened the box. The picture of the tube is from on line. I included a receipt (had to color out my address) to show purchase date. This cream is amazing but I no longer need. Thanks for checking!! Please note, in order to include this in my bundle offers, the total of the bundle must exceed $300 or I won’t be able to sell this item since it’s such a luxury item. Thanks. 😊