This is a custom handmade tissue box cover. This is an original design inspired by Jolly Old Saint Nick himself. This item fits any standard tissue box (not included). The square version measures 5.25" on each side. The rectangular version measures 9.25" x 5.25" x 5", and is made to accommodate even the largest size tissue box (230 count). This item is handcrafted in a smoke-free home using plastic canvas and yarn in red, black, and gold. Please allow 2-3 weeks for this item to be custom made just for you.