The front of this tooth fairy pillow is machine embroidered. The back is also embroidered. The material is a polyester blend and the stuffing is polyester fill. There is a small plastic bag that you can put the child's tooth in to insert in the little pocket so it won't stain anything and provides easier removal. Pillow measures approximately 7" long x 5" wide. PLEASE NOTE; This is a special order item...allow 2-3 weeks for delivery. Also, this particular tooth fairy pillow can be personalized. Email the name of the child when placing the order. And, if you would like it in a different color please let me know at the same time. It will also have a ribbon hanger so you can put it on a door knob or bed post. Thanks for stopping by Johns Attic and considering this item.