Hand Stitched by Nanny Moo! Every handmade pillow is unique and one of a kind - just like your special little nugget. Pocket pouch on back side of pillow to keep your tooth secure and fairy loot safe. Includes a special poem to recite before bed and certificate from the Tooth Fairy! Approximately 4.5 inches tall. Vegan faux leather - No cows were harmed in the making of this cutie! Yes - I would love to make a custom pillow for you! Message me the request.