New in box. 3 or the 4 wands still have tabs on them (showing they haven't been used). I have one of these and it's GREAT for breakouts! One zap and blemish is usually gone the next day. From the NuDerma websites: "Achieve your best skin yet with NuDerma’s advanced high-frequency technology, available in two targeted versions for different skin needs. Whether you're looking to reduce the signs of aging or clear up acne, NuDerma offers a solution tailored just for you. NuDerma won a 2023 Cosmopolitan "Holy Grail" Award, and is loved by editors and customers alike. Benefits + What's Included NuDerma Anti-Aging with Neon Gas: NuDerma with Neon attachments delivers mild electrical currents that promote microcirculation, which stimulates collagen production to smooth fine lines, reduce wrinkles, and firm the skin. Ideal for those seeking a youthful glow, it revitalizes your complexion while enhancing skin tone and texture. NuDerma Anti-Acne with Argon Gas: NuDerma with Argon attachments delivers oxygen-enriched molecules to the skin, targeting acne-causing bacteria and reducing breakouts and inflammation. Its deep-cleansing action accelerates healing, leaving your skin clearer and blemish-free.